6FS-84223-45514
4 vaccinations
4 coded responses
49 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 297 / SC
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- PAK-12617-81889
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-14
Registered in v-safe
-
2021-11-14
Dose 1 — Pfizer-BioNTech
- 2021-11-14
-
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-11-16
-
2021-11-17
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-11-18
- 2021-11-19
-
2021-11-20
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-11-21
- 2021-11-28
-
2021-12-05
Dose 2 — Pfizer-BioNTech
-
2021-12-05
Health check-in — day 0, dose 2, dependentFeeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-12-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-12-07
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fever · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-12-08
- 2021-12-09
-
2021-12-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2021-12-11
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-01-16
- 2022-03-06
-
2022-06-05
Survey response — 6 months, dose 2, dependentMedDRA: Body temperature increased, Diarrhoea, Office visit, Vomiting — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Late April and May had 2 vomiting episodes about a week apart, 3 loose bowel episodes 3 days ahead of first vomiting. Temp went as high as 99 deg f but no higher. Has been back to normal since mid May 2022. · Healthcare visit (other): Sick visit with drMedDRA releases: 2024-11 · check-in free text available
-
2022-06-05
Report sent to call center — 6 months, dose 2, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2022-06-06
- 2022-06-09
-
2022-06-09
Call successfulCompleted over the phone
-
2022-06-11
Dose 3 — Pfizer-BioNTech
- 2022-06-11
- 2022-06-12
-
2022-06-13
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swollen and sore lymph node in left arm pit. Left arm is where injection site is located.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-14
- 2022-06-15
- 2022-06-16
-
2022-06-18
Survey response — day 7, dose 3, dependentMedDRA: Headache, Oropharyngeal pain — Feeling: Good · HeadacheFree text: Headache behind left eye last night and sore throat this morningMedDRA releases: 2024-11 · check-in free text available
- 2022-06-26
- 2022-07-02
- 2022-07-09
- 2022-07-18
- 2022-07-25
- 2022-09-10
-
2022-11-26
Dose 4 — Pfizer-BioNTech
-
2022-11-27
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
-
2022-11-29
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Constipation — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Constipated, could have many causesMedDRA releases: 2024-11 · check-in free text available
- 2022-11-30
-
2022-12-01
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Poor · Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-12-03
- 2022-12-12
- 2022-12-17
- 2022-12-26
- 2023-01-02
- 2023-01-07
- 2023-02-27
- 2023-05-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-05 | Pfizer-BioNTech | No |
| 3 | 2022-06-11 | Pfizer-BioNTech | No |
| 4 | 2022-11-26 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 11 — 6 months, dose 2, dependent
Symptoms: Late April and May had 2 vomiting episodes about a week apart, 3 loose bowel episodes 3 days ahead of first vomiting. Temp went as high as 99 deg f but no higher. Has been back to normal since mid May 2022.
Healthcare visit (other): Sick visit with dr
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Swollen and sore lymph node in left arm pit. Left arm is where injection site is located.
Release 12 — day 7, dose 3, dependent
Systemic reaction (other): Headache behind left eye last night and sore throat this morning
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): Constipated, could have many causes
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Constipation | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release