3RS-80988-99966
3 vaccinations
6 coded responses
39 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 918 / CA
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- X4C-39269-99317
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-14
Registered in v-safe
-
2021-11-14
Dose 1 — Pfizer-BioNTech
-
2021-11-14
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain · Muscle or body aches, Abdominal painAdult check-in
-
2021-11-15
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Chest pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: A little bit of chest pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
-
2021-11-28
Survey response — day 14, dose 1, dependentMedDRA: Injection site rash, Pre-existing disease — Feeling: GoodFree text: Not sure if it's because of the vaccine, but he broke out in a small rash on the upper arm of the injection site. He has a history of eczema so it might not be a result of vaccine, though.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Dose 2 — Pfizer-BioNTech
- 2021-12-05
-
2021-12-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-07
- 2021-12-08
- 2021-12-09
-
2021-12-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-12-11
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-01-16
- 2022-03-06
- 2022-06-05
-
2022-07-14
Dose 3 — Pfizer-BioNTech
-
2022-07-14
Survey response — day 0, dose 3, dependentMedDRA: Epistaxis — Feeling: Good · Site: PainFree text: Nose bleedMedDRA releases: 2024-11 · check-in free text available
-
2022-07-15
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-07-16
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2022-07-17
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Itching · Joint pains, Muscle or body achesAdult check-in
-
2022-07-18
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Chest pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Slight chest pain last nightMedDRA releases: 2024-11 · check-in free text available
- 2022-07-19
- 2022-07-20
-
2022-07-21
Survey response — day 7, dose 3, dependentMedDRA: Chest pain — Feeling: GoodFree text: Slight chest pain last night.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-28
- 2022-08-04
- 2022-08-11
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2022-08-18
Survey response — day 35, dose 3, dependentMedDRA: Chest discomfort, Chest pain, Exercise lack of, Office visit — Feeling: GoodFree text: He occasionally gets an odd chest pain/discomfort. He had that back in 2020 and was seen by a pediatric cardiologist and was found to be very healthy, and Dr said it was lack of exercise and moving around (due to pandemic and being indoors).MedDRA releases: 2024-11 · check-in free text available
- 2022-08-25
- 2022-10-13
- 2023-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-05 | Pfizer-BioNTech | No |
| 3 | 2022-07-14 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): A little bit of chest pain.
Release 10 — day 14, dose 1, dependent
Symptoms: Not sure if it's because of the vaccine, but he broke out in a small rash on the upper arm of the injection site. He has a history of eczema so it might not be a result of vaccine, though.
Release 12 — day 0, dose 3, dependent
Systemic reaction (other): Nose bleed
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Slight chest pain last night
Release 12 — day 7, dose 3, dependent
Systemic reaction (other): Slight chest pain last night.
Release 12 — day 35, dose 3, dependent
Symptoms: He occasionally gets an odd chest pain/discomfort. He had that back in 2020 and was seen by a pediatric cardiologist and was found to be very healthy, and Dr said it was lack of exercise and moving around (due to pandemic and being indoors).
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 | Chest discomfort | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Exercise lack of | · | · | ✓ |
| SD | Injection site rash | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Epistaxis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release