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3GD-19821-37965

3 vaccinations 5 coded responses 22 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
12-15
ZIP prefix
949 / CA
Registered
2021-08-24
Relationship
Child or adolescent in my care
Guardian
HT6-27693-07519
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-08-24
    Registered in v-safe
  2. 2021-08-28
    Dose 1 — Pfizer-BioNTech
  3. 2021-08-28
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-08-29
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Luteal phase deficiency — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Close to period. So I'm usually already in a low leutal phase
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-09-02
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Muscle or body aches
    Adult check-in
  7. 2021-09-04
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-09-11
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2021-09-18
    Dose 2 — Pfizer-BioNTech
  10. 2021-09-19
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-09-23
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-09-27
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-10-04
    Survey response — day 14, dose 2, dependent
    MedDRA: Abdominal pain upper — Feeling: Good · Be unable to work or attend school
    Free text: Stomach aches 24 hrs no fever
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-09
    Survey response — day 21, dose 2, dependent
    MedDRA: Cough, Nasopharyngitis — Feeling: Good
    Free text: Cold is going around slight dry coughing
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-10-23
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2021-10-30
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2021-12-18
    Survey response — 3 months, dose 2, dependent
    MedDRA: Nasopharyngitis — Feeling: Poor
    Free text: Cold
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-03-01
    Dose 3 — Pfizer-BioNTech
  19. 2022-03-02
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  20. 2022-03-04
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2022-03-10
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  22. 2022-03-16
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  23. 2022-03-29
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  24. 2022-04-05
    Survey response — day 35, dose 3, dependent
    MedDRA: Diarrhoea, Food intolerance, Influenza like illness, Migraine, Mobility decreased, Pyrexia, Tenderness, Unevaluable event, Vomiting — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Symptoms: Was sick with flu like symptoms was down for a full week is still regaining normal regimen with food. Slight fever the first day constant throwing up for a full week. Food sensitivity, had one migraine and sensitivity. Minor diarrhea. 90% healthy · Healthcare visit (other): ER was unable to see him they were beyond booked
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-04-05
    Report sent to call center — day 35, dose 3, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  26. 2022-04-12
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  27. 2022-04-12
    Call successful
    Participant prefers to complete VAERS report online
  28. 2022-06-06

Vaccinations

DoseDateManufacturerCo-administered
12021-08-28Pfizer-BioNTech No
22021-09-18Pfizer-BioNTech No
32022-03-01Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

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

2021-08-29

Systemic reaction (other): Close to period. So I'm usually already in a low leutal phase

Release 10 — day 14, dose 2, dependent

2021-10-04

Symptoms: Stomach aches 24 hrs no fever

Release 10 — day 21, dose 2, dependent

2021-10-09

Symptoms: Cold is going around slight dry coughing

Release 10 — 3 months, dose 2, dependent

2021-12-18

Symptoms: Cold

Release 11 — day 35, dose 3, dependent

2022-04-05

Symptoms: Was sick with flu like symptoms was down for a full week is still regaining normal regimen with food. Slight fever the first day constant throwing up for a full week. Food sensitivity, had one migraine and sensitivity. Minor diarrhea. 90% healthy
Healthcare visit (other): ER was unable to see him they were beyond booked

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDAbdominal pain upper · · ✓
SDCough · · ✓
SDDiarrhoea · · ✓
SDFood intolerance · · ✓
SDInfluenza like illness · · ✓
SDMigraine · · ✓
SDMobility decreased · · ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDTenderness · · ✓
SDVomiting · · ✓
SROLuteal phase deficiency ✓ · ✓

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