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
-
2021-11-06
Dose 1 — Pfizer-BioNTech
-
2021-11-07
Registered in v-safe
- 2021-11-07
- 2021-11-08
- 2021-11-09
-
2021-11-11
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Vomiting — Feeling: Good · Nausea · Be unable to work or attend schoolFree text: Couldn't report yesterday, but lots of vomiting, probably unrelated.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-13
- 2021-11-20
-
2021-11-27
Dose 2 — Pfizer-BioNTech
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-11
- 2021-12-20
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-02-26
-
2022-05-21
Dose 3 — Pfizer-BioNTech
- 2022-05-28
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-06-18
- 2022-06-25
- 2022-07-02
- 2022-08-20
-
2022-10-24
Dose 4 — Moderna
-
2022-11-19
Survey response — 6 months, dose 3, dependentMedDRA: Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree 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
-
2023-01-23
Survey response — 3 months, dose 4, dependentMedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-04-24
Survey response — 6 months, dose 4, dependentMedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-06 | Pfizer-BioNTech | No |
| 2 | 2021-11-27 | Pfizer-BioNTech | No |
| 3 | 2022-05-21 | Pfizer-BioNTech | No |
| 4 | 2022-10-24 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Couldn't report yesterday, but lots of vomiting, probably unrelated.
Release 12 — 6 months, dose 3, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release