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VFS-12682-13114

3 vaccinations 3 coded responses 33 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
920 / CA
Registered
2021-11-22
Relationship
Child or adolescent in my care
Guardian
9QB-29768-56995
Race
Native Hawaiian or other Pacific Islander
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-11-22
    Registered in v-safe
  2. 2021-11-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-23
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-24
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  5. 2021-11-25
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-26
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school
    Free text: Coughing/congestion
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-27
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school
    Free text: Cough/congestion
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-28
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-12-02
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-12-07
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-12-15
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2021-12-21
    Dose 2 — Pfizer-BioNTech
  13. 2021-12-21
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-22
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-23
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Pruritus — Feeling: Good
    Free text: Body itching, no rash
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-12-25
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-12-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-12-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2022-01-03
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · Diarrhea, Abdominal pain
    Adult check-in
  20. 2022-01-11
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-01-18
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-01-25
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-02-03
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-12-23
  25. 2022-12-28
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  26. 2022-12-28
    Health check-in — day 0, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  27. 2022-12-29
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  28. 2022-12-30
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2022-12-31
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  30. 2023-01-01
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  31. 2023-01-04
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  32. 2023-01-13
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  33. 2023-01-18
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  34. 2023-01-27
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  35. 2023-02-08
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  36. 2023-03-31
  37. 2023-06-28

Vaccinations

DoseDateManufacturerCo-administered
12021-11-23Pfizer-BioNTech No
22021-12-21Pfizer-BioNTech No
32022-12-28Pfizer-BioNTech Flu

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-26

Systemic reaction (other): Coughing/congestion

2021-11-27

Systemic reaction (other): Cough/congestion

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-23

Systemic reaction (other): Body itching, no rash

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
SROCough · · ✓
SROPruritus · · ✓
SRORespiratory tract congestion · · ✓

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

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