26H-20530-34631
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 221 / VA
- Registered
- 2021-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- XYQ-38359-55464
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-05
Dose 1 — Pfizer-BioNTech
-
2021-06-26
Dose 2 — Pfizer-BioNTech
-
2021-06-27
Registered in v-safe
-
2021-06-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do their normal daily activitiesAdult check-in
-
2021-06-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do their normal daily activitiesAdult check-in
-
2021-06-29
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do their normal daily activitiesAdult check-in
-
2021-06-30
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Fatigue — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-07-01
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
-
2021-07-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
-
2021-07-03
Health check-in — 7 day, dose 2, dependentFeeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
- 2021-07-10
-
2021-07-17
Survey response — 21 day, dose 2, dependentMedDRA: Arthralgia, Decreased appetite, Headache — Feeling: Fair · Be unable to do their normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2021-07-26
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2021-07-31
Survey response — 35 day, dose 2, dependentMedDRA: Arthralgia, Chills, Fatigue, Headache, Nausea, Oropharyngeal pain, Pyrexia, Vomiting — Feeling: Poor · Be unable to do their normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
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2021-08-07
Survey response — 42 day, dose 2, dependentMedDRA: Fatigue, Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-07
Report sent to call center — 42 day, dose 2, dependentBe unable to work or attend school · Be unable to do their normal daily activities · Get care from a doctor or other healthcare p1 call case(s)
- 2021-08-11
- 2021-08-16
- 2021-09-25
- 2021-12-25
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2022-06-28
Survey response — 12 month, dose 2, dependentMedDRA: Cough, Eating disorder, Retching, Speech disorder, Unevaluable event, Vomiting, Weight decreased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11 · check-in answers available
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2022-06-28
Report sent to call center — 12 month, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-06-29
Call successfulCompleted over the phone
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2022-06-29
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-05 | Pfizer-BioNTech | No |
| 2 | 2021-06-26 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-07 | Successful 2022-06-29 |
Completed over the phone |
| 2022-06-28 | Successful 2022-06-29 |
Completed over the phone |
Free text
Release 9
Systemic reaction (other): Gets tired easily. My son is non-verbal and special needs with cardiac issues.
Symptoms: Appetite has has decreased.Frequent headaches and joint pain.
Symptoms: Fever, nausea, vomiting, fatigue, chills, joint pains, sore throat, headaches.
Symptoms: Runny nose, congestion, body aches, sore throat and fatigue
Release 12
Symptoms: He has been experiencing severe gagging and vomiting every 2 weeks. Difficulty eating, drinking, speaking. Weight loss
Healthcare visit (other): Biopsies, scope examine
Free-text releases are not linked to a specific 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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Eating disorder | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Retching | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Speech disorder | · | · | ✓ |
| SD | Vomiting | ✓ | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release