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
-
2022-07-13
Registered in v-safe
-
2022-07-13
Dose 1 — Pfizer-BioNTech
-
2022-07-13
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Swelling · Fever · ChillsAdult check-in
-
2022-07-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Swelling · NoneAdult check-in
-
2022-07-16
Health check-in — days 1–6 daily, dose 1, dependentFeeling: 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 visitAdult check-in
-
2022-07-16
Report sent to call center — days 1–6 daily, dose 1, dependentBe unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-07-17
- 2022-07-18
- 2022-07-21
- 2022-07-27
-
2022-08-04
Dose 2 — Pfizer-BioNTech
-
2022-08-04
Health check-in — day 0, dose 2, dependentFeeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-08-05
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2022-08-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-08-08
-
2022-08-28
Survey response — day 21, dose 2, dependentMedDRA: Chills, Dyspnoea, Injection site pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree 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 shotMedDRA releases: 2024-11 · check-in free text available
-
2022-09-03
Survey response — day 28, dose 2, dependentMedDRA: 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 visitFree text: Sinus infection,, coughing ,,, swollen ears with fluid,,, sore throat,, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-09-03
Report sent to call center — day 28, 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 prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-09-06
- 2022-09-06
- 2022-09-10
-
2022-09-18
Survey response — day 42, dose 2, dependentMedDRA: 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 visitFree 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 coughMedDRA releases: 2024-11 · check-in free text available
-
2022-09-18
Report sent to call center — day 42, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-19
- 2022-09-19
- 2022-09-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-13 | Pfizer-BioNTech | No |
| 2 | 2022-08-04 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 12 — day 21, dose 2, dependent
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
Symptoms: Sinus infection,, coughing ,,, swollen ears with fluid,,, sore throat,, runny nose
Release 12 — day 42, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Ear swelling | · | · | ✓ |
| SD | Hypopnoea | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release