X4S-18326-11924
2 vaccinations
1 coded response
15 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 923 / CA
- Registered
- 2021-08-16
- Relationship
- Child or adolescent in my care
- Guardian
- PCA-13698-22594
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-09
Dose 1 — Pfizer-BioNTech
-
2021-08-16
Registered in v-safe
- 2021-08-16
- 2021-08-25
-
2021-08-30
Dose 2 — Pfizer-BioNTech
-
2021-08-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Nausea, Vomiting · Be unable to work or attend schoolAdult check-in
-
2021-09-01
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-09-03
- 2021-09-04
- 2021-09-05
- 2021-09-08
- 2021-09-13
- 2021-09-20
- 2021-09-27
- 2021-10-04
- 2021-10-11
- 2021-11-29
-
2022-02-28
Survey response — 6 months, dose 2, dependentMedDRA: Reaction to previous exposure to any vaccine, Vomiting — Feeling: Good · Be unable to work or attend schoolFree text: Vomited after second dose and boosterMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-09 | Pfizer-BioNTech | No |
| 2 | 2021-08-30 | Pfizer-BioNTech | No |
Free text
Release 11 — 6 months, dose 2, dependent
Symptoms: Vomited after second dose and booster
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 | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release