2CU-12459-85074
3 vaccinations
11 coded responses
29 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 523 / IA
- Registered
- 2022-07-15
- Relationship
- Child or adolescent in my care
- Guardian
- E63-28224-34048
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2022-07-15
Registered in v-safe
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2022-07-15
Dose 1 — Pfizer-BioNTech
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2022-07-16
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-07-17
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2022-07-18
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-19
- 2022-07-20
- 2022-07-21
- 2022-07-22
- 2022-07-29
- 2022-08-05
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2022-08-12
Dose 2 — Pfizer-BioNTech
- 2022-08-12
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2022-08-13
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Chills, DiarrheaAdult check-in
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2022-08-14
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Swelling · NoneAdult check-in
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2022-08-15
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Swelling · NoneAdult check-in
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2022-08-16
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Contusion, Erythema, Nodule, Pain, Skin swelling — Feeling: Good · Site: Pain, Redness, SwellingFree text: I forgot to mark that he has had a red spot everyday, and now it's sort of turning into a bruise (with still swelling/knot under the skin and light pain).MedDRA releases: 2024-11 · check-in free text available
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2022-08-17
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Erythema, Swelling — Feeling: Good · Site: Pain, Redness, SwellingFree text: Redness is more of a darker bruise color, and swelling has decreased some.MedDRA releases: 2024-11 · check-in free text available
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2022-08-18
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Contusion, Erythema, Swelling — Feeling: Good · Site: Pain, Redness, SwellingFree text: Redness is still like a bruise, and is getting lighter and swelling continues to go down.MedDRA releases: 2024-11 · check-in free text available
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2022-08-19
Survey response — day 7, dose 2, dependentMedDRA: Contusion, Pain, Swelling — Feeling: Good · Site: RednessFree text: Bruise color has gone way down, and the swelling and pain are gone.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-26
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2022-09-02
Survey response — day 21, dose 2, dependentMedDRA: Diarrhoea — Feeling: FairFree text: For about 2 weeks straight he's had diarrhea every day (2-4 times a day). He eats and drinks normally, has no fevers, and acts ok. He also had diarrhea the first few days after his 2nd shot. We're attempting the BRAT diet to see if it's viral.MedDRA releases: 2024-11 · check-in free text available
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2022-09-09
Survey response — day 28, dose 2, dependentMedDRA: Diarrhoea, Faeces soft — Feeling: GoodFree text: He still has diarrhea and softer bowels than his normal bowel.MedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Survey response — day 35, dose 2, dependentMedDRA: Diarrhoea, Faeces soft, Office visit — Feeling: GoodFree text: Still having diarrhea and mushy bowels (start after 2nd Covid shot), and has been nearly 2-3 times every day since. Just went to the doctor on 9/9 and they did a stool sample. Waiting on results.MedDRA releases: 2024-11 · check-in free text available
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2022-09-23
Survey response — day 42, dose 2, dependentMedDRA: Diarrhoea, Faeces soft — Feeling: GoodFree text: He's still having softer bowels/diarrhea. We're seeing our doctor.MedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Survey response — 3 months, dose 2, dependentMedDRA: Gastrointestinal disorder — Feeling: GoodFree text: He has had bowel issues since his 2nd dose of the vaccine. (Issues are daily.) He's had a stool culture, tried other things, and now we are waiting to see a specialist.MedDRA releases: 2024-11 · check-in free text available
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2023-02-10
Survey response — 6 months, dose 2, dependentMedDRA: Crohn's disease, Diarrhoea, Office visit — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-03-01
Dose 3 — Moderna
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2023-03-22
Survey response — day 21, dose 3, dependentMedDRA: Crohn's disease, Gastrointestinal disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-03-22
Report sent to call center — day 21, dose 3, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2023-03-23
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2023-03-23
Call successfulNot applicable - Accidental Reporting
- 2023-03-29
- 2023-04-05
- 2023-04-12
- 2023-05-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-15 | Pfizer-BioNTech | No |
| 2 | 2022-08-12 | Pfizer-BioNTech | No |
| 3 | 2023-03-01 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): I forgot to mark that he has had a red spot everyday, and now it's sort of turning into a bruise (with still swelling/knot under the skin and light pain).
Systemic reaction (other): Redness is more of a darker bruise color, and swelling has decreased some.
Systemic reaction (other): Redness is still like a bruise, and is getting lighter and swelling continues to go down.
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): Bruise color has gone way down, and the swelling and pain are gone.
Release 12 — day 21, dose 2, dependent
Symptoms: For about 2 weeks straight he's had diarrhea every day (2-4 times a day). He eats and drinks normally, has no fevers, and acts ok. He also had diarrhea the first few days after his 2nd shot. We're attempting the BRAT diet to see if it's viral.
Release 12 — day 28, dose 2, dependent
Symptoms: He still has diarrhea and softer bowels than his normal bowel.
Release 12 — day 35, dose 2, dependent
Symptoms: Still having diarrhea and mushy bowels (start after 2nd Covid shot), and has been nearly 2-3 times every day since. Just went to the doctor on 9/9 and they did a stool sample. Waiting on results.
Release 12 — day 42, dose 2, dependent
Symptoms: He's still having softer bowels/diarrhea. We're seeing our doctor.
Release 12 — 3 months, dose 2, dependent
Symptoms: He has had bowel issues since his 2nd dose of the vaccine. (Issues are daily.) He's had a stool culture, tried other things, and now we are waiting to see a specialist.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Crohn's disease | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Faeces soft | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Nodule | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Skin swelling | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release