ZP4-52408-00519
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 980 / WA
- Registered
- 2021-12-20
- Relationship
- Child or adolescent in my care
- Guardian
- 5EV-22459-14140
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-19
Dose 1 — Pfizer-BioNTech
-
2021-12-20
Registered in v-safe
-
2021-12-20
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-21
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-12-23
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodes in axillaMedDRA releases: 2024-11 · check-in free text available
- 2021-12-26
-
2022-01-02
Survey response — day 14, dose 1, dependentMedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: ColeMedDRA releases: 2024-11 · check-in free text available
- 2022-01-09
-
2022-01-16
Dose 2 — Pfizer-BioNTech
- 2022-01-16
-
2022-01-17
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-01-18
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Itching · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2022-01-19
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Dizziness — Feeling: Fair · Site: Itching · HeadacheFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2022-01-21
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-01-22
- 2022-01-23
- 2022-01-30
- 2022-02-09
- 2022-02-15
- 2022-02-23
- 2022-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-19 | Pfizer-BioNTech | No |
| 2 | 2022-01-16 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Swollen lymph nodes in axilla
Release 10 — day 14, dose 1, dependent
Symptoms: Cole
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Dizziness
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 | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release