69D-30061-98514

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 3 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 301 / GA
Registered: 2021-11-10

Relationship: Child or adolescent in my care
Guardian: Y5P-15173-66046
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-11-09
Dose 1 — Pfizer-BioNTech
2021-11-10
Registered in v-safe
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Headache, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-02
Survey response — day 21, dose 1, dependent
MedDRA: Myalgia, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school

Free text: Sore throat and muscles.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Dose 2 — Pfizer-BioNTech
2021-12-07
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Nausea

Adult check-in
2021-12-17
Survey response — day 14, dose 2, dependent
MedDRA: Cough, Lower respiratory tract infection, Sinus congestion — Feeling: Poor · Be unable to work or attend school, 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: Cough, sinus congestion, chest infection,

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — day 14, dose 2, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-21
Call 1 — Left Voicemail
2022-01-06
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-09
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-14
Survey response — day 42, dose 2, dependent
MedDRA: Dizziness, Influenza virus test negative, Myalgia, Oropharyngeal pain, Pain, Pharyngeal erythema, Pyrexia, SARS-CoV-2 test — Feeling: Poor · Be unable to work or attend school, 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: Fever, sore and red throat, muscle and body aches, dizzy, waiting in covid test results. Strep and flu test negative.

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — day 42, dose 2, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-14
Call successful
Does not wish to fill out VAERS report
2022-03-04
Survey response — 3 months, dose 2, dependent
MedDRA: Asthma, COVID-19, Pre-existing disease, Viral infection — Feeling: Fair · Be unable to work or attend school, 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: Covid. Asthma came back after having covid. Bronchitis. Another virus.

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Report sent to call center — 3 months, dose 2, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-07
Call 1 — Left Voicemail
2022-03-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-04
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-12-03
Survey response — 12 months, dose 2, dependent
MedDRA: Asthma, Nasopharyngitis, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school

Free text: Asthma flair. Colds. Congestions.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-09	Pfizer-BioNTech	No
2	2021-12-03	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-17	Successful 2022-01-14	Does not wish to fill out VAERS report
2022-01-14	Successful	Does not wish to fill out VAERS report
2022-03-04	Successful 2022-03-07	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 10 — day 21, dose 1, dependent

2021-12-02

Symptoms: Sore throat and muscles.

Release 10 — day 14, dose 2, dependent

2021-12-17

Symptoms: Cough, sinus congestion, chest infection,

Release 10 — day 42, dose 2, dependent

2022-01-14

Symptoms: Fever, sore and red throat, muscle and body aches, dizzy, waiting in covid test results. Strep and flu test negative.

Release 11 — 3 months, dose 2, dependent

2022-03-04

Symptoms: Covid. Asthma came back after having covid. Bronchitis. Another virus.

Release 12 — 12 months, dose 2, dependent

2022-12-03

Symptoms: Asthma flair. Colds. Congestions.

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	Asthma	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pharyngeal erythema	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Viral infection	·	·	✓

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