7CQ-31639-88036

4 vaccinations 9 coded responses 50 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 982 / WA
Registered: 2021-12-03

Relationship: Child or adolescent in my care
Guardian: ZHX-64865-98668
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-12-03
Registered in v-safe
2021-12-03
Dose 1 — Pfizer-BioNTech
2021-12-03
Health check-in — day 0, dose 1, dependent
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-12-12
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-12-17
Survey response — day 14, dose 1, dependent
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school

Free text: Runny nose with congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-28
Dose 2 — Pfizer-BioNTech
2021-12-29
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-12-31
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Injection site bruising, Injection site rash — Feeling: Fair · Site: Pain, Swelling

Free text: Injection site is now bruised and there's a slight circular rash around it about the size of a golf ball.

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-01-04
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-01-11
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-02-08
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-06-18
Dose 3 — Pfizer-BioNTech
2022-06-20
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-06-21
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache

Free text: Congestion with runny nose and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness

Free text: Congestion with runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness

Free text: Congestion with runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Respiratory tract congestion — Feeling: Good · Fatigue or tiredness

Free text: Mild congestion

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Health check-in — day 7, dose 3, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-07-02
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2022-07-11
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2022-07-17
Health check-in — day 28, dose 3, dependent
Feeling: Fair

Adult check-in
2022-07-23
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-07-30
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-17
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-10-21
Dose 4 — Pfizer-BioNTech
2022-10-21
Health check-in — day 0, dose 4, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Headache

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Fair · Headache

Adult check-in
2022-10-27
Survey response — days 1–6 daily, dose 4, dependent
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — day 7, dose 4, dependent
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 14, dose 4, dependent
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 4, dependent
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 28, dose 4, dependent
Feeling: Good

Adult check-in
2022-11-25
Survey response — day 35, dose 4, dependent
MedDRA: Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school

Free text: Wet cough, congestion with runny nose and 4 days of fever.

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Health check-in — day 42, dose 4, dependent
Feeling: Good

Adult check-in
2023-01-20
Health check-in — 3 months, dose 4, dependent
Feeling: Good

Adult check-in
2023-04-22
Health check-in — 6 months, dose 4, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-12-03	Pfizer-BioNTech	No
2	2021-12-28	Pfizer-BioNTech	No
3	2022-06-18	Pfizer-BioNTech	No
4	2022-10-21	Pfizer-BioNTech	No

Free text

Release 10 — day 14, dose 1, dependent

2021-12-17

Symptoms: Runny nose with congestion

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

2021-12-31

Systemic reaction (other): Injection site is now bruised and there's a slight circular rash around it about the size of a golf ball.

Release 12 — days 1–6 daily, dose 3, dependent

2022-06-21

Systemic reaction (other): Congestion with runny nose and sore throat

2022-06-22

Systemic reaction (other): Congestion with runny nose

2022-06-23

Systemic reaction (other): Congestion with runny nose

2022-06-24

Systemic reaction (other): Mild congestion

Release 12 — days 1–6 daily, dose 4, dependent

2022-10-27

Systemic reaction (other): Congestion and sore throat

Release 12 — day 7, dose 4, dependent

2022-10-28

Systemic reaction (other): Congestion and sore throat

Release 12 — day 35, dose 4, dependent

2022-11-25

Symptoms: Wet cough, congestion with runny nose and 4 days of fever.

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	Cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Injection site rash	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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