66K-21256-49239

3 vaccinations 10 coded responses 28 check-ins 10 free-text entries 3 call cases

Sex: Male
Age at first dose: 12-15
ZIP prefix: 553 / MN
Registered: 2021-05-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-17
Dose 1 — Pfizer-BioNTech
2021-05-19
Registered in v-safe
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-13
Dose 2 — Pfizer-BioNTech
2021-06-13
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, cough, tight chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Lymphadenopathy, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, congestion, swollen neck glands, loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Feeding disorder, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Fever · Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, cough, congestion, unable to eat or drink

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Feeding disorder, Fluid intake reduced, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Sore throat, coughing, congestion, not able to eat or drink

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Decreased appetite, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat, coughing, congestion, not eating or drinking much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-21
Call 1 — Left Voicemail
2021-07-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-03-03
Dose 3 — Pfizer-BioNTech
2022-03-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Swollen lymph node in armpit of injected arm

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Congestion, cough

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Survey response — day 7, dose 3
MedDRA: Cough, Respiratory tract congestion, Sinusitis, Wheezing — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Congestion, cough, a little wheezy (Dx. With sinus infection)

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — day 7, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-16
Call 1 — Left Voicemail
2022-03-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-04-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-04-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-09-01
Survey response — 6 months, dose 3
MedDRA: Infectious mononucleosis, Lymphadenopathy, Mononucleosis heterophile test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diagnosed with mono thru monospot test (swollen lymph node on one side for weeks, no other symptoms). Have since recovered.

MedDRA releases: 2024-11 · check-in free text available
2022-09-01
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-02
Call 2 — Left Voicemail
2022-09-02
Call 2 — Left Voicemail
2022-09-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-17	Pfizer-BioNTech
2	2021-06-13	Pfizer-BioNTech
3	2022-03-03	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-14

Systemic reaction (other): Sore throat, cough, tight chest

2021-06-15

Systemic reaction (other): Sore throat, congestion, swollen neck glands, loss of appetite

2021-06-16

Systemic reaction (other): Sore throat, cough, congestion, unable to eat or drink

2021-06-17

Systemic reaction (other): Sore throat, coughing, congestion, not able to eat or drink

2021-06-18

Systemic reaction (other): Sore throat, coughing, congestion, not eating or drinking much

2021-06-19

Systemic reaction (other): Coughing

Release 11 — days 1–6 daily, dose 3

2022-03-05

Systemic reaction (other): Swollen lymph node in armpit of injected arm

2022-03-08

Systemic reaction (other): Congestion, cough

Release 11 — day 7, dose 3

2022-03-10

Systemic reaction (other): Congestion, cough, a little wheezy (Dx. With sinus infection)

Release 12 — 6 months, dose 3

2022-09-01

Symptoms: Diagnosed with mono thru monospot test (swollen lymph node on one side for weeks, no other symptoms). Have since recovered.

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	Infectious mononucleosis	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Mononucleosis heterophile test positive	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeding disorder	✓	✓	✓
SRO	Fluid intake reduced	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinusitis	·	·	✓
SRO	Wheezing	·	·	✓

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