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
-
2021-11-05
Dose 1 — Pfizer-BioNTech
-
2021-11-07
Registered in v-safe
- 2021-11-07
-
2021-11-08
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-11-11
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: Insomnia possiblyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Survey response — day 7, dose 1, dependentMedDRA: Unevaluable event — Feeling: GoodFree text: Possible insomniaMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
-
2021-11-26
Dose 2 — Pfizer-BioNTech
- 2021-11-26
-
2021-11-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-28
- 2021-11-29
-
2021-11-30
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Insomnia — Feeling: Good · Site: PainFree text: Insomnia againMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Insomnia — Feeling: GoodFree text: Insomnia againMedDRA releases: 2024-11 · check-in free text available
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2021-12-02
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Insomnia, Irritability — Feeling: GoodFree text: Insomnia; irritableMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Survey response — day 7, dose 2, dependentMedDRA: Insomnia, Irritability — Feeling: Good · Site: PainFree text: Insomnia; irritableMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-01-09
- 2022-02-27
- 2022-05-31
-
2022-11-26
Survey response — 12 months, dose 2, dependentMedDRA: Catarrh, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Congestion and mucus build up.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | No |
| 2 | 2021-11-26 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Insomnia possibly
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Possible insomnia
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Insomnia again
Systemic reaction (other): Insomnia again
Systemic reaction (other): Insomnia; irritable
Release 10 — day 7, dose 2, dependent
Systemic reaction (other): Insomnia; irritable
Release 12 — 12 months, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Catarrh | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release