Z4B-33312-69723
2 vaccinations
1 coded response
16 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 500 / IA
- Registered
- 2021-11-11
- Relationship
- Child or adolescent in my care
- Guardian
- 3ML-30552-95640
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-11
Registered in v-safe
-
2021-11-11
Dose 1 — Pfizer-BioNTech
- 2021-11-11
-
2021-11-12
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Sensory disturbance — Feeling: Good · Site: PainFree text: Felt something in back of mouth when he woke up. No pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-13
- 2021-11-14
- 2021-11-16
- 2021-11-18
- 2021-11-25
-
2021-12-02
Dose 2 — Pfizer-BioNTech
- 2021-12-09
- 2021-12-16
- 2021-12-25
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-03-03
- 2022-06-02
- 2022-12-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-02 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Felt something in back of mouth when he woke up. No pain.
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 |
|---|---|---|---|---|
| SRO | Sensory disturbance | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release