3MU-32730-82293
3 vaccinations
1 coded response
23 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 925 / CA
- Registered
- 2021-08-10
- Relationship
- Child or adolescent in my care
- Guardian
- 2XC-15271-79254
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-09
Dose 1 — Pfizer-BioNTech
-
2021-08-10
Registered in v-safe
-
2021-08-10
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-08-11
- 2021-08-12
- 2021-08-14
- 2021-08-15
- 2021-08-16
- 2021-08-23
- 2021-08-30
-
2021-09-03
Dose 2 — Pfizer-BioNTech
-
2021-09-03
Survey response — day 0, dose 2, dependentMedDRA: Eye pain, Fatigue, Injection site pain, Pain in extremity, Somnolence — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Shot at 9am, rested arm & no exercise all day, they felt GREAT all day. But Suddenly 12hrs after shot, sore injection site, sore leg, a sore eye opposite of shot side, suddenly very fatigued and immediately sound asleep.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do their normal daily activitiesAdult check-in
- 2021-09-05
- 2021-09-06
- 2021-09-07
- 2021-09-08
- 2021-09-09
- 2021-09-10
- 2021-09-17
- 2021-09-24
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-12-03
-
2022-04-15
Dose 3 — Pfizer-BioNTech
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-09 | Pfizer-BioNTech | No |
| 2 | 2021-09-03 | Pfizer-BioNTech | No |
| 3 | 2022-04-15 | Pfizer-BioNTech | No |
Free text
Release 9 — day 0, dose 2, dependent
Systemic reaction (other): Shot at 9am, rested arm & no exercise all day, they felt GREAT all day. But Suddenly 12hrs after shot, sore injection site, sore leg, a sore eye opposite of shot side, suddenly very fatigued and immediately sound asleep.
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 |
|---|---|---|---|---|
| SRO | Eye pain | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | · | ✓ |
| SRO | Injection site pain | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Somnolence | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release