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XGG-31952-59778

4 vaccinations 4 coded responses 31 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
210 / MD
Registered
2021-11-07
Relationship
Child or adolescent in my care
Guardian
WLX-14118-65424
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-07
    Registered in v-safe
  3. 2021-11-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-11
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Vomiting — Feeling: Good · Nausea · Be unable to work or attend school
    Free text: Couldn't report yesterday, but lots of vomiting, probably unrelated.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-13
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-20
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-11-27
    Dose 2 — Pfizer-BioNTech
  11. 2021-11-27
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-11-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-11-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-12-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-12-04
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-12-11
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2021-12-20
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2021-12-25
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-01-01
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-01-08
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-02-26
  24. 2022-05-21
    Dose 3 — Pfizer-BioNTech
  25. 2022-05-28
  26. 2022-05-28
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  27. 2022-06-04
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  28. 2022-06-11
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  29. 2022-06-18
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  30. 2022-06-25
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  31. 2022-07-02
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  32. 2022-08-20
  33. 2022-10-24
    Dose 4 — Moderna
  34. 2022-11-19
    Survey response — 6 months, dose 3, dependent
    MedDRA: Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: They had the same whatever non-COVID sickness the rest of the family had. Fever, cough, fatigue, loss of appetite, congestion, etc. They have since recovered.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2023-01-23
    Survey response — 3 months, dose 4, dependent
    MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  36. 2023-04-24
    Survey response — 6 months, dose 4, dependent
    MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-11-06Pfizer-BioNTech No
22021-11-27Pfizer-BioNTech No
32022-05-21Pfizer-BioNTech No
42022-10-24Moderna No

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-11

Systemic reaction (other): Couldn't report yesterday, but lots of vomiting, probably unrelated.

Release 12 — 6 months, dose 3, dependent

2022-11-19

Symptoms: They had the same whatever non-COVID sickness the rest of the family had. Fever, cough, fatigue, loss of appetite, congestion, etc. They have since recovered.

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

FieldPreferred term2021-092023-042024-11
SDNasopharyngitis · · ✓
SDUnevaluable event · · ✓
SROVomiting · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release