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Y4J-31661-61194

1 vaccination 1 coded response 6 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
982 / WA
Registered
2021-11-18
Relationship
Child or adolescent in my care
Guardian
X7A-29579-17624
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-18
    Registered in v-safe
  3. 2021-11-18
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Poor · Fever · Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  4. 2021-11-19
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  5. 2021-11-20
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-21
    Survey response — day 7, dose 1, dependent
    MedDRA: Cough — Feeling: Fair
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-02-15
  8. 2022-05-15

Vaccinations

DoseDateManufacturerCo-administered
12021-11-14Pfizer-BioNTech No

Free text

Release 10 — day 7, dose 1, dependent

2021-11-21

Systemic reaction (other): Cough

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
SROCough · · ✓

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