2VT-33982-49611
4 vaccinations
1 coded response
18 check-ins
0 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 658 / MO
- Registered
- 2021-12-10
- Relationship
- Child or adolescent in my care
- Guardian
- 2FS-33847-29792
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-15
Dose 1 — Pfizer-BioNTech
-
2021-06-05
Dose 2 — Pfizer-BioNTech
-
2021-12-10
Registered in v-safe
- 2021-12-11
-
2022-01-07
Dose 3 — Pfizer-BioNTech
-
2022-01-08
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolAdult check-in
-
2022-01-09
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-01-10
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-11
- 2022-01-23
- 2022-01-30
- 2022-01-30
- 2022-02-11
- 2022-04-10
- 2022-07-09
-
2023-01-02
Dose 4 — Pfizer-BioNTech
-
2023-01-08
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2023-01-08
Survey response — 12 months, dose 3, dependentMedDRA: Apathy, Confusional state, Disturbance in attention — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-01-08
Report sent to call center — 12 months, dose 3, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2023-01-09
- 2023-01-17
- 2023-01-24
- 2023-01-31
- 2023-02-13
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-15 | Pfizer-BioNTech | No |
| 2 | 2021-06-05 | Pfizer-BioNTech | No |
| 3 | 2022-01-07 | Pfizer-BioNTech | No |
| 4 | 2023-01-02 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
None.
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 | Apathy | · | · | ✓ |
| SD | Confusional state | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release