UTK-16316-92289
4 vaccinations
9 coded responses
50 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 770 / TX
- Registered
- 2021-11-13
- Relationship
- Child or adolescent in my care
- Guardian
- GFE-32317-53902
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-13
Registered in v-safe
-
2021-11-13
Dose 1 — Pfizer-BioNTech
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-27
-
2021-12-04
Dose 2 — Pfizer-BioNTech
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-18
-
2021-12-25
Survey response — day 21, dose 2, dependentMedDRA: Cough, Nasopharyngitis, Oropharyngeal pain — Feeling: GoodFree text: cold, sore throat and wet coughMedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-03-05
-
2022-05-27
Dose 3 — Pfizer-BioNTech
- 2022-05-27
- 2022-05-29
- 2022-05-30
-
2022-05-31
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Urticaria — Feeling: Good · Site: Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: hives all over both arms and under belly button since morning after shotMedDRA releases: 2024-11 · check-in free text available
-
2022-06-01
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Urticaria — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: hives still present but getting better. today makes 4th day with hivesMedDRA releases: 2024-11 · check-in free text available
-
2022-06-02
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Urticaria — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: hives still present but still lessening in appearanceMedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Survey response — day 7, dose 3, dependentMedDRA: Urticaria — Feeling: GoodFree text: hives are almost goneMedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
-
2022-08-28
Survey response — 3 months, dose 3, dependentMedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: coldMedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
-
2022-12-28
Dose 4 — Pfizer-BioNTech
- 2022-12-28
- 2022-12-29
- 2022-12-30
- 2022-12-31
- 2023-01-01
- 2023-01-02
- 2023-01-04
-
2023-01-11
Survey response — day 14, dose 4, dependentMedDRA: Abdominal pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-01-18
-
2023-01-25
Survey response — day 28, dose 4, dependentMedDRA: Cough, Sneezing — Feeling: GoodMedDRA releases: 2024-11
- 2023-02-01
- 2023-02-08
-
2023-03-29
Survey response — 3 months, dose 4, dependentMedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-06-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-13 | Pfizer-BioNTech | No |
| 2 | 2021-12-04 | Pfizer-BioNTech | No |
| 3 | 2022-05-27 | Pfizer-BioNTech | No |
| 4 | 2022-12-28 | Pfizer-BioNTech | No |
Free text
Release 10 — day 21, dose 2, dependent
Symptoms: cold, sore throat and wet cough
Release 11 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): hives all over both arms and under belly button since morning after shot
Systemic reaction (other): hives still present but getting better. today makes 4th day with hives
Systemic reaction (other): hives still present but still lessening in appearance
Release 11 — day 7, dose 3, dependent
Systemic reaction (other): hives are almost gone
Release 12 — 3 months, dose 3, dependent
Symptoms: cold
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release