Y9K-71155-59654
2 vaccinations
2 coded responses
5 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 140 / NY
- Registered
- 2021-12-07
- Relationship
- Child or adolescent in my care
- Guardian
- XYH-24088-44650
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-12-01
Dose 2 — Pfizer-BioNTech
-
2021-12-07
Registered in v-safe
- 2021-12-07
- 2021-12-09
- 2021-12-16
-
2021-12-23
Survey response — day 21, dose 2, dependentMedDRA: Abdominal pain upper — Feeling: FairFree text: Stomach acheMedDRA releases: 2024-11 · check-in free text available
-
2022-01-12
Survey response — day 42, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: Mild coughMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
Free text
Release 10 — day 21, dose 2, dependent
Symptoms: Stomach ache
Release 10 — day 42, dose 2, dependent
Symptoms: Mild 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release