XBV-24452-21423
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 925 / CA
- Registered
- 2021-12-09
- Relationship
- Child or adolescent in my care
- Guardian
- YAC-32403-95985
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-12-03
Dose 1 — Pfizer-BioNTech
-
2021-12-09
Registered in v-safe
- 2021-12-10
- 2021-12-17
- 2021-12-26
-
2021-12-27
Dose 2 — Pfizer-BioNTech
-
2021-12-28
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: Poor · Fever · VomitingFree text: Runny nose and coughMedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2021-12-31
-
2022-01-01
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Productive cough — Feeling: GoodFree text: Just phlegmMedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
- 2022-01-03
- 2022-01-10
-
2022-01-19
Survey response — day 21, dose 2, dependentMedDRA: Cough, Influenza, Vomiting — Feeling: Fair · Be unable to work or attend schoolFree text: Flu symptoms I clueing cough and vomitingMedDRA releases: 2024-11 · check-in free text available
- 2022-01-28
- 2022-01-31
- 2022-02-09
- 2022-03-31
- 2022-06-27
- 2022-12-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-03 | Pfizer-BioNTech | No |
| 2 | 2021-12-27 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Runny nose and cough
Systemic reaction (other): Just phlegm
Release 10 — day 21, dose 2, dependent
Symptoms: Flu symptoms I clueing cough and vomiting
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 | Cough | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release