W2G-25961-16749
1 vaccination
1 coded response
10 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 550 / MN
- Registered
- 2021-11-05
- Relationship
- Child or adolescent in my care
- Guardian
- 2Q3-30772-25032
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-05
Registered in v-safe
-
2021-11-08
Dose 1 — Pfizer-BioNTech
-
2021-11-08
Health check-in — day 0, dose 1, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
-
2021-11-26
Survey response — day 14, dose 1, dependentMedDRA: Adverse drug reaction, Diarrhoea, Limb injury, Wound infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: 3 infected sores on L leg. Rx broad spectrum antibiotic by doctor clindamycin to include staph. Probiotic culturelle and antibiotic started 11/24. Diarrhea from antibiotic.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Report sent to call center — day 14, dose 1, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-29
- 2022-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-08 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: 3 infected sores on L leg. Rx broad spectrum antibiotic by doctor clindamycin to include staph. Probiotic culturelle and antibiotic started 11/24. Diarrhea from antibiotic.
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 | Adverse drug reaction | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Wound infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release