5CU-11776-35195
3 vaccinations
7 coded responses
39 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 770 / TX
- Registered
- 2021-11-06
- Relationship
- Child or adolescent in my care
- Guardian
- CE5-17301-83506
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-06
Registered in v-safe
-
2021-11-06
Dose 1 — Pfizer-BioNTech
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-20
-
2021-11-27
Dose 2 — Pfizer-BioNTech
- 2021-11-27
-
2021-11-28
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph node swelling in armpit where got injection (mild)MedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Lymph node pain — Feeling: Fair · Fatigue or tirednessFree text: Mild pain in lymph nodes in armpitMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
-
2021-12-01
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Lymph node pain — Feeling: GoodFree text: A little pain in armpit (lymph nodes) againMedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Lymph node pain — Feeling: GoodFree text: Soreness in lymph nodes in armpitMedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-02-26
-
2022-05-28
Survey response — 6 months, dose 2, dependentMedDRA: Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: He's recovering from a cold and recently had a feverMedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Dose 3 — Pfizer-BioNTech
- 2022-06-03
-
2022-06-04
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2022-06-05
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tirednessAdult check-in
-
2022-06-06
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
- 2022-06-07
- 2022-06-08
- 2022-06-09
- 2022-06-10
- 2022-06-17
-
2022-06-24
Survey response — day 21, dose 3, dependentMedDRA: Aphonia, Cough, Office visit, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Cough, loss of voice, low fever, sore throat · Healthcare visit (other): Appointment with pediatric nurse to get checked outMedDRA releases: 2024-11 · check-in free text available
-
2022-06-24
Report sent to call center — day 21, 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 pr1 call case(s)
-
2022-06-27
Call successfulParticipant prefers to complete VAERS report online
-
2022-07-01
Survey response — day 28, dose 3, dependentMedDRA: Abdominal pain upper, Fatigue, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: He tested positive for COVID on June 26. His symptoms were mild - fatigue, stomachache (one night), runny nose, congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-08
- 2022-07-15
- 2022-09-02
- 2022-12-02
- 2023-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-06 | Pfizer-BioNTech | No |
| 2 | 2021-11-27 | Pfizer-BioNTech | No |
| 3 | 2022-06-03 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Lymph node swelling in armpit where got injection (mild)
Systemic reaction (other): Mild pain in lymph nodes in armpit
Systemic reaction (other): A little pain in armpit (lymph nodes) again
Systemic reaction (other): Soreness in lymph nodes in armpit
Release 11 — 6 months, dose 2, dependent
Symptoms: He's recovering from a cold and recently had a fever
Release 12 — day 21, dose 3, dependent
Symptoms: Cough, loss of voice, low fever, sore throat
Healthcare visit (other): Appointment with pediatric nurse to get checked out
Release 12 — day 28, dose 3, dependent
Symptoms: He tested positive for COVID on June 26. His symptoms were mild - fatigue, stomachache (one night), runny nose, congestion.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Aphonia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release