X5P-62519-40504
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 085 / NJ
- Registered
- 2021-11-11
- Relationship
- Child or adolescent in my care
- Guardian
- LUD-67816-27878
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-11-04
Dose 1 — Pfizer-BioNTech
-
2021-11-11
Registered in v-safe
- 2021-11-11
-
2021-11-18
Survey response — day 14, dose 1, dependentMedDRA: Diarrhoea — Feeling: GoodFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
-
2021-11-30
Dose 2 — Pfizer-BioNTech
- 2021-12-02
- 2021-12-05
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-01-13
-
2022-03-01
Survey response — 3 months, dose 2, dependentMedDRA: Abdominal pain upper, Pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend schoolFree text: Runny nose, congestion, sneezing, slight stomachache acheMedDRA releases: 2024-11 · check-in free text available
- 2022-05-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-04 | Pfizer-BioNTech | No |
| 2 | 2021-11-30 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Diarrhea
Release 11 — 3 months, dose 2, dependent
Symptoms: Runny nose, congestion, sneezing, slight stomachache ache
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 | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release