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V6F-26233-11256

2 vaccinations 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
601 / IL
Registered
2021-11-13
Relationship
Child or adolescent in my care
Guardian
2SL-32942-30929
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-13
    Registered in v-safe
  3. 2021-11-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-18
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-12-02
    Survey response — day 21, dose 1, dependent
    MedDRA: Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Fever, sore throat, congestion
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-10
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2021-12-16
    Dose 2 — Pfizer-BioNTech
  9. 2021-12-26
    Survey response — day 7, dose 2, dependent
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Enlarged lymph node left side neck. Same arm as vaccine
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-01-01
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  11. 2022-01-14
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2022-01-20
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-11-11Pfizer-BioNTech No
22021-12-16Pfizer-BioNTech No

Free text

Release 10 — day 21, dose 1, dependent

2021-12-02

Symptoms: Fever, sore throat, congestion

Release 10 — day 7, dose 2, dependent

2021-12-26

Systemic reaction (other): Enlarged lymph node left side neck. Same arm as vaccine

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

FieldPreferred term2021-092023-042024-11
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SROLymphadenopathy · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release