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5T6-12410-79626

3 vaccinations 8 coded responses 29 check-ins 7 free-text entries 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
301 / GA
Registered
2022-07-08
Relationship
Child or adolescent in my care
Guardian
YNC-17946-90506
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-07
    Dose 1 — Pfizer-BioNTech
  2. 2022-07-08
    Registered in v-safe
  3. 2022-07-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-07-10
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2022-07-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-12
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Erythema — Feeling: Good · Site: Redness, Swelling
    Free text: The redness was from the bandaid.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-14
    Survey response — day 7, dose 1, dependent
    MedDRA: Pain — Feeling: Good
    Free text: He's got an ouchie from the bandaid adhesive.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-07-21
    Survey response — day 14, dose 1, dependent
    MedDRA: Somnolence — Feeling: Good
    Free text: He seems extra sleepy today.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-28
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-07-29
    Dose 2 — Pfizer-BioNTech
  12. 2022-07-31
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Hypersomnia — Feeling: Good · Fatigue or tiredness
    Free text: He slept an extra 90 minutes this morning, and has been clingy, but says he feels ok
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-08-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-08-04
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Injection site discolouration, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): There's a weird black dot where he got his injection · Healthcare visit (other): I'm about to call the nursline about it.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-08-04
    Report sent to call center — days 1–6 daily, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  18. 2022-08-05
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2022-08-05
    Call successful
    Not applicable - Accidental Reporting
  20. 2022-08-12
    Survey response — day 14, dose 2, dependent
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: A few days ago he had a sore throat.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-08-21
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-08-26
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-09-09
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-10-07
    Dose 3 — Pfizer-BioNTech
  25. 2022-10-11
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  26. 2022-10-12
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  27. 2022-10-13
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  28. 2022-10-15
    Health check-in — day 7, dose 3, dependent
    Feeling: Fair · Fever · Chills, Abdominal pain
    Adult check-in
  29. 2022-10-22
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  30. 2022-10-28
    Survey response — day 21, dose 3, dependent
    MedDRA: Abdominal pain — Feeling: Good
    Free text: Tummy ache
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-11-04
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  32. 2022-11-11
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  33. 2022-11-19
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  34. 2023-01-06
  35. 2023-04-09
    Survey response — 6 months, dose 3, dependent
    MedDRA: Diarrhoea, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-07-07Pfizer-BioNTech No
22022-07-29Pfizer-BioNTech No
32022-10-07Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-08-04 Successful
2022-08-05
Not applicable - Accidental Reporting

Free text

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

2022-07-12

Systemic reaction (other): The redness was from the bandaid.

Release 12 — day 7, dose 1, dependent

2022-07-14

Systemic reaction (other): He's got an ouchie from the bandaid adhesive.

Release 12 — day 14, dose 1, dependent

2022-07-21

Symptoms: He seems extra sleepy today.

Release 12 — days 1–6 daily, dose 2, dependent

2022-07-31

Systemic reaction (other): He slept an extra 90 minutes this morning, and has been clingy, but says he feels ok

2022-08-04

Systemic reaction (other): There's a weird black dot where he got his injection
Healthcare visit (other): I'm about to call the nursline about it.

Release 12 — day 14, dose 2, dependent

2022-08-12

Symptoms: A few days ago he had a sore throat.

Release 12 — day 21, dose 3, dependent

2022-10-28

Symptoms: Tummy ache

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
HCVOUnevaluable event · · ✓
SDAbdominal pain · · ✓
SDDiarrhoea · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SDSomnolence · · ✓
SROErythema · · ✓
SROHypersomnia · · ✓
SROInjection site discolouration · · ✓
SROPain · · ✓

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