ZCX-24308-62543
4 vaccinations
8 coded responses
47 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 339 / FL
- Registered
- 2021-11-08
- Relationship
- Child or adolescent in my care
- Guardian
- 47T-13725-68089
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-08
Registered in v-safe
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2021-11-08
Dose 1 — Pfizer-BioNTech
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2021-11-08
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Itching · NoneAdult check-in
-
2021-11-13
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Injection site bruising — Feeling: Good · ChillsFree text: Bruising at injection siteMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Injection site bruising — Feeling: Good · DiarrheaFree text: Bruising at injection siteMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — day 7, dose 1, dependentMedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
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2021-11-29
Dose 2 — Pfizer-BioNTech
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2021-11-29
Survey response — day 0, dose 2, dependentMedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Received additional routine vaccines at annual physical on 11/19/2021 including influenza.MedDRA releases: 2024-11 · check-in free text available
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2021-11-30
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-01
- 2021-12-02
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2021-12-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
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2021-12-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-06
- 2021-12-13
- 2021-12-22
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2021-12-27
Survey response — day 28, dose 2, dependentMedDRA: Headache — Feeling: FairFree text: Headache todayMedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
- 2022-01-10
- 2022-02-28
- 2022-05-30
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2022-06-13
Dose 3 — Pfizer-BioNTech
- 2022-06-13
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2022-06-14
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: LightheadednessMedDRA releases: 2024-11 · check-in free text available
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2022-06-15
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2022-06-16
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-17
- 2022-06-18
- 2022-06-20
- 2022-06-27
- 2022-07-04
- 2022-07-11
- 2022-07-18
- 2022-07-25
- 2022-09-12
- 2022-12-12
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2023-04-21
Dose 4 — Pfizer-BioNTech
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2023-04-22
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Flushing — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-04-23
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2023-04-25
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2023-04-26
- 2023-04-27
- 2023-04-28
- 2023-05-07
- 2023-05-12
- 2023-05-19
- 2023-05-26
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-08 | Pfizer-BioNTech | No |
| 2 | 2021-11-29 | Pfizer-BioNTech | No |
| 3 | 2022-06-13 | Pfizer-BioNTech | No |
| 4 | 2023-04-21 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Bruising at injection site
Systemic reaction (other): Bruising at injection site
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Bruising at injection site
Release 10 — day 0, dose 2, dependent
Systemic reaction (other): Received additional routine vaccines at annual physical on 11/19/2021 including influenza.
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Dizziness
Release 10 — day 28, dose 2, dependent
Symptoms: Headache today
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Lightheadedness
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 | Headache | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release