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8NW-30814-04695

2 vaccinations 3 coded responses 14 check-ins 3 free-text entries 3 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
381 / TN
Registered
2022-07-13
Relationship
Child or adolescent in my care
Guardian
FSP-11143-23956
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-13
    Registered in v-safe
  2. 2022-07-13
    Dose 1 — Pfizer-BioNTech
  3. 2022-07-13
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Swelling · Fever · Chills
    Adult check-in
  4. 2022-07-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Swelling · None
    Adult check-in
  5. 2022-07-16
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain, Swelling · None · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Adult check-in
  6. 2022-07-16
    Report sent to call center — days 1–6 daily, dose 1, dependent
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  7. 2022-07-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Headache
    Adult check-in
  8. 2022-07-18
  9. 2022-07-21
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-27
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-08-04
    Dose 2 — Pfizer-BioNTech
  12. 2022-08-04
    Health check-in — day 0, dose 2, dependent
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  13. 2022-08-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Adult check-in
  14. 2022-08-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2022-08-08
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-08-28
    Survey response — day 21, dose 2, dependent
    MedDRA: Chills, Dyspnoea, Injection site pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Can't breathe in his sleep woke up out of breath Chills and a fever leg is very sore in spot where he receive the vaccine shot
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-09-03
    Survey response — day 28, dose 2, dependent
    MedDRA: Cough, Ear swelling, Middle ear effusion, Oropharyngeal pain, Rhinorrhoea, Sinusitis — 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, Emergency room or emergency department visit
    Free text: Sinus infection,, coughing ,,, swollen ears with fluid,,, sore throat,, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-09-03
    Report sent to call center — day 28, 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 · Emergency room or emergency department visit · 1 call case(s)
  19. 2022-09-06
  20. 2022-09-06
  21. 2022-09-10
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-09-18
    Survey response — day 42, dose 2, dependent
    MedDRA: Cough, Decreased appetite, Dyspnoea, Hypopnoea, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Runny nose Fever Sore throat Body aches Light breathing Gasping for air No appetite/very poor appetite Can't get enough oxygen to breath Breathing thru nose Continues to cough
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-09-18
    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
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  24. 2022-09-19
  25. 2022-09-19
  26. 2022-09-19

Vaccinations

DoseDateManufacturerCo-administered
12022-07-13Pfizer-BioNTech No
22022-08-04Pfizer-BioNTech No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 12 — day 21, dose 2, dependent

2022-08-28

Symptoms: Can't breathe in his sleep woke up out of breath Chills and a fever leg is very sore in spot where he receive the vaccine shot

Release 12 — day 28, dose 2, dependent

2022-09-03

Symptoms: Sinus infection,, coughing ,,, swollen ears with fluid,,, sore throat,, runny nose

Release 12 — day 42, dose 2, dependent

2022-09-18

Symptoms: Runny nose Fever Sore throat Body aches Light breathing Gasping for air No appetite/very poor appetite Can't get enough oxygen to breath Breathing thru nose Continues to cough

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

FieldPreferred term2021-092023-042024-11
SDChills · · ✓
SDCough · · ✓
SDDecreased appetite · · ✓
SDDyspnoea · · ✓
SDEar swelling · · ✓
SDHypopnoea · · ✓
SDInjection site pain · · ✓
SDMiddle ear effusion · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSinusitis · · ✓

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