8E2-20131-63378

4 vaccinations 5 coded responses 47 check-ins 2 free-text entries 0 call cases

Sex: —
Age at first dose: 05-11
ZIP prefix: 919 / CA
Registered: 2021-11-08

Relationship: Child or adolescent in my care
Guardian: DM5-15219-93168
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

2021-11-08
Registered in v-safe
2021-11-08
Dose 1 — Pfizer-BioNTech
2021-11-08
Health check-in — day 0, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-11-17
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-22
Survey response — day 14, dose 1, dependent
MedDRA: Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold-like symptoms; stuffy_x000D_unny nose, sore throat, headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Dose 2 — Pfizer-BioNTech
2021-11-29
Health check-in — day 0, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — day 7, dose 2, dependent
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-13
Survey response — day 14, dose 2, dependent
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-10
Health check-in — day 42, dose 2, dependent
Feeling: Fair

Adult check-in
2022-02-28
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-05-31
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-06-22
Dose 3 — Pfizer-BioNTech
2022-06-22
Health check-in — day 0, dose 3, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-23
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-07-02
Health check-in — day 7, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-07-06
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2022-07-13
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2022-07-22
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-07-27
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-08-03
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-21
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-12-28
Dose 4 — Pfizer-BioNTech
2022-12-30
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Fair · Site: Pain · Fever · Headache, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-12-31
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2023-01-01
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2023-01-02
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Headache

Adult check-in
2023-01-03
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2023-01-04
Health check-in — day 7, dose 4, dependent
Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2023-01-12
Health check-in — day 14, dose 4, dependent
Feeling: Good

Adult check-in
2023-01-18
Health check-in — day 21, dose 4, dependent
Feeling: Good

Adult check-in
2023-01-25
Health check-in — day 28, dose 4, dependent
Feeling: Good

Adult check-in
2023-02-02
Survey response — day 35, dose 4, dependent
MedDRA: Cough, Fatigue, Malaise, Nasal congestion — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-08
Survey response — day 42, dose 4, dependent
MedDRA: Abdominal pain upper, Conjunctivitis, Fatigue, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-06-28
Survey response — 6 months, dose 4, dependent
MedDRA: Hypersensitivity, Joint swelling, Urticaria — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-08	Pfizer-BioNTech	No
2	2021-11-29	Pfizer-BioNTech	No
3	2022-06-22	Pfizer-BioNTech	No
4	2022-12-28	Pfizer-BioNTech	No

Free text

Release 10 — day 14, dose 1, dependent

2021-11-22

Symptoms: Cold-like symptoms; stuffy_x000D_unny nose, sore throat, headache

Release 10 — day 14, dose 2, dependent

2021-12-13

Symptoms: Dizziness.

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 upper	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Joint swelling	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Urticaria	·	·	✓

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