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48J-24818-33506

4 vaccinations 1 coded response 14 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
190 / PA
Registered
2022-06-23
Relationship
Child or adolescent in my care
Guardian
2QQ-33630-72162
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-08
    Dose 1 — Pfizer-BioNTech
    Co-administered: Flu
  2. 2021-11-29
    Dose 2 — Pfizer-BioNTech
  3. 2022-06-22
    Dose 3 — Pfizer-BioNTech
  4. 2022-06-23
    Registered in v-safe
  5. 2022-06-23
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Defiant behaviour, Psychomotor hyperactivity — Feeling: Good
    Free text: Hyperactiveness/impishness
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-06-24
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-06-27
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-22
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  9. 2022-09-21
  10. 2022-10-16
    Dose 4 — Moderna
  11. 2022-10-21
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Headache, Vomiting
    Adult check-in
  12. 2022-10-22
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-10-23
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-10-30
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  15. 2022-11-06
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  16. 2022-11-13
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  17. 2022-11-20
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  18. 2022-11-27
    Health check-in — day 42, dose 4, dependent
    Feeling: Fair
    Adult check-in
  19. 2023-01-15

Vaccinations

DoseDateManufacturerCo-administered
12021-11-08Pfizer-BioNTech Flu
22021-11-29Pfizer-BioNTech No
32022-06-22Pfizer-BioNTech No
42022-10-16Moderna No

Free text

Release 12 — days 1–6 daily, dose 3, dependent

2022-06-23

Systemic reaction (other): Hyperactiveness/impishness

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
SRODefiant behaviour · · ✓
SROPsychomotor hyperactivity · · ✓

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