5L6-31025-18981

4 vaccinations 4 coded responses 44 check-ins 4 free-text entries 0 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 606 / IL
Registered: 2021-11-15

Relationship: Child or adolescent in my care
Guardian: 57E-13322-22099
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-11-14
Dose 1 — Pfizer-BioNTech
2021-11-15
Registered in v-safe
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-05
Dose 2 — Pfizer-BioNTech
2021-12-05
Health check-in — day 0, dose 2, dependent
Feeling: Fair · Site: Pain · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-12
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-19
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-09
Survey response — day 35, dose 2, dependent
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Survey response — day 42, dose 2, dependent
MedDRA: Gastroenteritis viral, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school

Free text: Cold and stomach flu but negative PCR for covid

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-05-21
Dose 3 — Pfizer-BioNTech
2022-05-22
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-05-28
Health check-in — day 7, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-06-04
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2022-06-18
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-07-02
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-08-20
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-10-21
Dose 4 — Pfizer-BioNTech
2022-10-22
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-30
Health check-in — day 7, dose 4, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-05
Survey response — day 14, dose 4, dependent
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Health check-in — day 21, dose 4, dependent
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 28, dose 4, dependent
MedDRA: Headache — Feeling: Poor · Be unable to work or attend school

Free text: He's had a very bad headache for 18 hours

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — day 35, dose 4, dependent
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 42, dose 4, dependent
Feeling: Good

Adult check-in
2023-01-20
Health check-in — 3 months, dose 4, dependent
Feeling: Good

Adult check-in
2023-04-21
Health check-in — 6 months, dose 4, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-14	Pfizer-BioNTech	No
2	2021-12-05	Pfizer-BioNTech	No
3	2022-05-21	Pfizer-BioNTech	No
4	2022-10-21	Pfizer-BioNTech	No

Free text

Release 10 — day 35, dose 2, dependent

2022-01-09

Symptoms: cold symptoms

Release 10 — day 42, dose 2, dependent

2022-01-16

Symptoms: Cold and stomach flu but negative PCR for covid

Release 12 — day 14, dose 4, dependent

2022-11-05

Symptoms: Cough

Release 12 — day 28, dose 4, dependent

2022-11-18

Symptoms: He's had a very bad headache for 18 hours

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	Cough	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓

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