2JZ-46317-90479

3 vaccinations 5 coded responses 41 check-ins 5 free-text entries 0 call cases

Sex: Male
Age at first dose: 12-15
ZIP prefix: 984 / WA
Registered: 2021-06-15

Relationship: Child or adolescent in my care
Guardian: AVL-81800-64030
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-06-14
Dose 1 — Pfizer-BioNTech
2021-06-15
Registered in v-safe
2021-06-15
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-06-18
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-06-21
Health check-in — day 7, dose 1, dependent
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-06-28
Survey response — day 14, dose 1, dependent
MedDRA: Blood pressure normal, Headache, Oxygen saturation — Feeling: Good

Free text: Headache over the past 3 days in the morning. Normal BP, normal Temp and normal Pulse Ox.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2021-07-12
Health check-in — day 28, dose 1, dependent
Feeling: Good

Adult check-in
2021-07-19
Health check-in — day 35, dose 1, dependent
Feeling: Good

Adult check-in
2021-07-26
Health check-in — day 42, dose 1, dependent
Feeling: Good

Adult check-in
2021-07-29
Dose 2 — Pfizer-BioNTech
2021-07-30
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-01
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · None

Adult check-in
2021-08-02
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · None

Adult check-in
2021-08-03
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · None

Adult check-in
2021-08-04
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · None

Adult check-in
2021-08-05
Health check-in — day 7, dose 2, dependent
Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do their normal daily activities

Adult check-in
2021-08-12
Health check-in — day 14, dose 2, dependent
Feeling: Fair

Adult check-in
2021-08-19
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2021-08-26
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2021-09-02
Health check-in — day 35, dose 2, dependent
Feeling: Fair

Adult check-in
2021-09-09
Survey response — day 42, dose 2, dependent
MedDRA: Cough, Exposure to SARS-CoV-2, Oropharyngeal pain, Pyrexia, Quarantine, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do their normal daily activities

Free text: (b)(6) was exposed to someone who tested positive for Covid-19 approximately 10days ago He is currently under quarantine. Today he woke up with sore throat, cough, runny nose and mild fever. He will be tested tomorrow 09/10/2021 at Walgreens.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — 3 months, dose 2, dependent
Feeling: Fair

Adult check-in
2022-01-29
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-30
Dose 3 — Pfizer-BioNTech
2022-03-31
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-04-01
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-04-02
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Redness · None

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-04-06
Health check-in — day 7, dose 3, dependent
Feeling: Fair · Site: Swelling · Muscle or body aches

Adult check-in
2022-04-14
Survey response — day 14, dose 3, dependent
MedDRA: Injection site pain, Musculoskeletal stiffness — Feeling: Good

Free text: Stiff neck, aches and mild pain at injection site.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — day 21, dose 3, dependent
MedDRA: Fatigue, Headache, Malaise, Myalgia, Pain, Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Just not feeling well. Very tired, muscle aches, headache. He said it hurts his feet when he walks.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-06-29
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-28
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in
2023-03-30
Health check-in — 12 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-14	Pfizer-BioNTech
2	2021-07-29	Pfizer-BioNTech	No
3	2022-03-30	Pfizer-BioNTech	No

Free text

Release 9 — day 14, dose 1, dependent

2021-06-28

Symptoms: Headache over the past 3 days in the morning. Normal BP, normal Temp and normal Pulse Ox.

Release 9 — days 1–6 daily, dose 2, dependent

2021-07-30

Systemic reaction (other): Runny nose

Release 9 — day 42, dose 2, dependent

2021-09-09

Symptoms: (b)(6) was exposed to someone who tested positive for Covid-19 approximately 10days ago He is currently under quarantine. Today he woke up with sore throat, cough, runny nose and mild fever. He will be tested tomorrow 09/10/2021 at Walgreens.

redacted (b)(6)

Release 11 — day 14, dose 3, dependent

2022-04-14

Symptoms: Stiff neck, aches and mild pain at injection site.

Release 11 — day 21, dose 3, dependent

2022-04-20

Symptoms: Just not feeling well. Very tired, muscle aches, headache. He said it hurts his feet when he walks.

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	Blood pressure normal	○	✓	○
SD	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Malaise	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Oxygen saturation	○	✓	○
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	·	·	✓
SD	Quarantine	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Rhinorrhoea	✓	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release