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5TV-20689-19522

2 vaccinations 4 coded responses 13 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
12-15
ZIP prefix
919 / CA
Registered
2021-07-02
Relationship
Child or adolescent in my care
Guardian
2LN-33405-47809
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-30
    Dose 2 — Pfizer-BioNTech
  3. 2021-07-02
    Registered in v-safe
  4. 2021-07-02
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Autism spectrum disorder, Lennox-Gastaut syndrome, Pre-existing disease — Feeling: Good
    Free text: He is Autistic and has Lennox Gastaut.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-03
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-07-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-07-07
    Survey response — day 7, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose - mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-14
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  10. 2021-07-21
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  11. 2021-07-28
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2021-08-04
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2021-08-11
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2021-09-29
    Survey response — 3 months, dose 2, dependent
    MedDRA: Hydrocele, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Hydrocyle - dont believe its related at all. It just said any new health issues.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-09-29
    Report sent to call center — 3 months, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2021-10-05
  17. 2021-12-29
  18. 2022-06-30

Vaccinations

DoseDateManufacturerCo-administered
12021-06-09Pfizer-BioNTech No
22021-06-30Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2, dependent

2021-07-02

Systemic reaction (other): He is Autistic and has Lennox Gastaut.

2021-07-03

Systemic reaction (other): No

Release 9 — day 7, dose 2, dependent

2021-07-07

Systemic reaction (other): Runny nose - mild

Release 9 — 3 months, dose 2, dependent

2021-09-29

Symptoms: Hydrocyle - dont believe its related at all. It just said any new health issues.

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
SDHydrocele · · ✓
SDPre-existing disease · · ✓
SROAutism spectrum disorder ○ ✓ ○
SROLennox-Gastaut syndrome ○ ✓ ○
SRONo adverse event ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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