V5C-21484-49923
2 vaccinations
2 coded responses
16 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 113 / NY
- Registered
- 2021-11-09
- Relationship
- Child or adolescent in my care
- Guardian
- 5ZM-27268-57324
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-09
Registered in v-safe
-
2021-11-09
Dose 1 — Pfizer-BioNTech
- 2021-11-09
- 2021-11-11
- 2021-11-13
-
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Itching · NoneAdult check-in
- 2021-11-17
-
2021-11-23
Survey response — day 14, dose 1, dependentMedDRA: Abdominal pain upper, Diarrhoea, Headache, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diarrhea, stomachache, vomit, headachesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Report sent to call center — day 14, dose 1, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-24
-
2021-11-30
Dose 2 — Pfizer-BioNTech
- 2021-11-30
-
2021-12-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · HeadacheAdult check-in
- 2021-12-04
- 2021-12-06
- 2021-12-09
- 2021-12-23
- 2021-12-30
-
2022-01-06
Survey response — day 35, dose 2, dependentMedDRA: Eye pruritus — Feeling: GoodFree text: My eyes have been very very itchyMedDRA releases: 2024-11 · check-in free text available
- 2022-03-01
- 2022-05-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-09 | Pfizer-BioNTech | No |
| 2 | 2021-11-30 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Diarrhea, stomachache, vomit, headaches
Release 10 — day 35, dose 2, dependent
Symptoms: My eyes have been very very itchy
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 upper | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release