XCF-18524-03198
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 730 / OK
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- SNS-44917-89060
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-13
Dose 1 — Pfizer-BioNTech
-
2021-11-14
Registered in v-safe
-
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-16
- 2021-11-17
- 2021-11-19
- 2021-11-27
-
2021-12-04
Dose 2 — Pfizer-BioNTech
- 2021-12-06
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-18
- 2022-01-01
- 2022-01-10
-
2022-01-15
Survey response — day 42, dose 2, dependentMedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend schoolFree text: COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-03-05
Survey response — 3 months, dose 2, dependentMedDRA: Diarrhoea, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Had fever and diarrhea 2/25MedDRA releases: 2024-11 · check-in free text available
- 2022-06-06
-
2022-12-04
Survey response — 12 months, dose 2, dependentMedDRA: Asthma, Croup infectious, Pre-existing disease, Viral infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Has had recurrent croup and asthma exacerbations triggered by viral illnessMedDRA releases: 2024-11 · check-in free text available
-
2022-12-04
Report sent to call center — 12 months, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-05
-
2022-12-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-13 | Pfizer-BioNTech | No |
| 2 | 2021-12-04 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 42, dose 2, dependent
Symptoms: COVID
Release 11 — 3 months, dose 2, dependent
Symptoms: Had fever and diarrhea 2/25
Release 12 — 12 months, dose 2, dependent
Symptoms: Has had recurrent croup and asthma exacerbations triggered by viral illness
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 | Asthma | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release