7PJ-38096-71461
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 941 / CA
- Registered
- 2021-11-19
- Relationship
- Child or adolescent in my care
- Guardian
- 5YX-21283-82801
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-12
Dose 1 — Pfizer-BioNTech
-
2021-11-19
Registered in v-safe
-
2021-11-19
Health check-in — day 7, dose 1, dependentFeeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-26
-
2021-12-03
Survey response — day 21, dose 1, dependentMedDRA: Body temperature increased — Feeling: GoodFree text: Fever, mild. 3 days. (100.1 degrees F) 26, 27, 28 NovemberMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
-
2021-12-17
Dose 2 — Pfizer-BioNTech
- 2021-12-17
-
2021-12-18
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-12-19
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal painFree text: He's 100% better than the first shot. Ultrasound is negative on Aortic Arch, myocardial surface and pericardial surfaceMedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
-
2022-01-23
Survey response — day 35, dose 2, dependentMedDRA: Cough, Sneezing — Feeling: GoodFree text: Cough, sneezing etc.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-28
-
2022-03-18
Survey response — 3 months, dose 2, dependentMedDRA: Abdominal pain, Cough, Irritability, Pyrexia, Sneezing, Somnolence — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fever for two days including abdominal pain, sneezing coughing excessive sleepy ness and irritability.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-18
Report sent to call center — 3 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-22
-
2022-06-20
Survey response — 6 months, dose 2, dependentMedDRA: Cyanosis, Lip discolouration, Myalgia, Oxygen saturation decreased, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Fever for three days and general myalgia. White/blue lips and low pulse ox. Never tested positive.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Survey response — 12 months, dose 2, dependentMedDRA: Cough, Influenza virus test negative, Lethargy, Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fought the cold for 10 days, fever 101 and coughing. 3 days. Then cough and lethargy for 9 total days Not flu Not Covid Not a virus Just a coldMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Pfizer-BioNTech | No |
| 2 | 2021-12-17 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 21, dose 1, dependent
Symptoms: Fever, mild. 3 days. (100.1 degrees F) 26, 27, 28 November
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): He's 100% better than the first shot. Ultrasound is negative on Aortic Arch, myocardial surface and pericardial surface
Release 11 — day 35, dose 2, dependent
Symptoms: Cough, sneezing etc.
Release 11 — 3 months, dose 2, dependent
Symptoms: Fever for two days including abdominal pain, sneezing coughing excessive sleepy ness and irritability.
Release 12 — 6 months, dose 2, dependent
Symptoms: Fever for three days and general myalgia. White/blue lips and low pulse ox. Never tested positive.
Release 12 — 12 months, dose 2, dependent
Symptoms: Fought the cold for 10 days, fever 101 and coughing. 3 days. Then cough and lethargy for 9 total days Not flu Not Covid Not a virus Just a cold
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 | Abdominal pain | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Cyanosis | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Lip discolouration | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release