62G-32741-91509
4 vaccinations
6 coded responses
36 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 930 / CA
- Registered
- 2021-11-05
- Relationship
- Child or adolescent in my care
- Guardian
- CCG-15969-80661
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-05
Registered in v-safe
-
2021-11-05
Dose 1 — Pfizer-BioNTech
- 2021-11-05
-
2021-11-09
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-12
- 2021-11-19
-
2021-11-26
Dose 2 — Pfizer-BioNTech
- 2021-11-26
-
2021-11-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-11-30
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-10
-
2021-12-19
Survey response — day 21, dose 2, dependentMedDRA: Sneezing — Feeling: GoodFree text: Has been sneezing every morning, at least 8 times every morning since 1st vaccine. Not sure if it related, but it started then.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
- 2022-01-07
-
2022-02-25
Survey response — 3 months, dose 2, dependentMedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive for covid February 12, 2023MedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Dose 3 — Pfizer-BioNTech
- 2022-05-21
-
2022-05-22
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain, Itching · NoneAdult check-in
-
2022-05-24
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-05-25
- 2022-05-28
- 2022-06-04
-
2022-06-20
Survey response — day 28, dose 3, dependentMedDRA: Arthralgia, Disturbance in attention, Memory impairment, Pain in extremity, Pre-existing disease — Feeling: FairFree text: Got Covid 4 months ago, recently received booster vaccine. He has recently seemed to have issues with memory, focusing and complained of sore shoulder and legs. He has not had these issues in the past.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-20
-
2022-11-19
Survey response — 6 months, dose 3, dependentMedDRA: Coccidioidomycosis, Infectious mononucleosis, Influenza, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Infectious Mono, Valley Fever, cold and fluMedDRA releases: 2024-11 · check-in free text available
-
2022-11-19
Report sent to call center — 6 months, dose 3, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-11-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-18
Dose 4 — Pfizer-BioNTech
- 2022-12-19
- 2022-12-20
- 2022-12-21
- 2022-12-24
- 2022-12-25
- 2023-01-01
- 2023-01-10
- 2023-01-15
- 2023-01-22
-
2023-01-31
Survey response — day 42, dose 4, dependentMedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Sinus disorder — Feeling: FairMedDRA releases: 2024-11
- 2023-06-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | No |
| 2 | 2021-11-26 | Pfizer-BioNTech | No |
| 3 | 2022-05-21 | Pfizer-BioNTech | No |
| 4 | 2022-12-18 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Runny nose
Release 10 — day 21, dose 2, dependent
Symptoms: Has been sneezing every morning, at least 8 times every morning since 1st vaccine. Not sure if it related, but it started then.
Release 11 — 3 months, dose 2, dependent
Symptoms: Tested positive for covid February 12, 2023
Release 12 — day 28, dose 3, dependent
Symptoms: Got Covid 4 months ago, recently received booster vaccine. He has recently seemed to have issues with memory, focusing and complained of sore shoulder and legs. He has not had these issues in the past.
Release 12 — 6 months, dose 3, dependent
Symptoms: Infectious Mono, Valley Fever, cold and flu
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 | Arthralgia | · | · | ✓ |
| SD | Coccidioidomycosis | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | Infectious mononucleosis | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release