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64Z-29505-42059

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
566 / MN
Registered
2021-11-07
Relationship
Child or adolescent in my care
Guardian
ZM5-18699-58817
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-07
    Registered in v-safe
  3. 2021-11-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  5. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  6. 2021-11-11
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness
    Free text: Insomnia possibly
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-12
    Survey response — day 7, dose 1, dependent
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Possible insomnia
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-19
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2021-11-26
    Dose 2 — Pfizer-BioNTech
  10. 2021-11-26
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-11-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  12. 2021-11-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-11-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Headache
    Adult check-in
  14. 2021-11-30
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Insomnia — Feeling: Good · Site: Pain
    Free text: Insomnia again
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-01
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Insomnia — Feeling: Good
    Free text: Insomnia again
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-12-02
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Insomnia, Irritability — Feeling: Good
    Free text: Insomnia; irritable
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-12-03
    Survey response — day 7, dose 2, dependent
    MedDRA: Insomnia, Irritability — Feeling: Good · Site: Pain
    Free text: Insomnia; irritable
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-10
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2021-12-17
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2021-12-24
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-01-09
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-02-27
  23. 2022-05-31
  24. 2022-11-26
    Survey response — 12 months, dose 2, dependent
    MedDRA: Catarrh, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Congestion and mucus build up.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-11-05Pfizer-BioNTech No
22021-11-26Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-11

Systemic reaction (other): Insomnia possibly

Release 10 — day 7, dose 1, dependent

2021-11-12

Systemic reaction (other): Possible insomnia

Release 10 — days 1–6 daily, dose 2, dependent

2021-11-30

Systemic reaction (other): Insomnia again

2021-12-01

Systemic reaction (other): Insomnia again

2021-12-02

Systemic reaction (other): Insomnia; irritable

Release 10 — day 7, dose 2, dependent

2021-12-03

Systemic reaction (other): Insomnia; irritable

Release 12 — 12 months, dose 2, dependent

2022-11-26

Symptoms: Congestion and mucus build up.

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
SDCatarrh · · ✓
SDRespiratory tract congestion · · ✓
SROInsomnia · · ✓
SROIrritability · · ✓
SROUnevaluable event · · ✓

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