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ASR-15057-34954

3 vaccinations 6 coded responses 23 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
12-15
ZIP prefix
230 / VA
Registered
2021-07-06
Relationship
Child or adolescent in my care
Guardian
4V5-31385-33566
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-06
    Registered in v-safe
  2. 2021-07-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-07-06
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-07-07
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to do their normal daily activities
    Free text: Nose running with green mucus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches
    Adult check-in
  6. 2021-07-10
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-07-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-07-21
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2021-07-27
    Dose 2 — Pfizer-BioNTech
  10. 2021-07-27
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-07-28
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Headache · Be unable to do their normal daily activities
    Free text: Heat rate 114
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-07-29
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache
    Free text: Heart rate 84
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-07-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-07-31
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-08-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-08-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-08-03
    Health check-in — day 7, dose 2, dependent
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-08-10
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2021-08-17
    Survey response — day 21, dose 2, dependent
    MedDRA: Cough, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Stuffy nose, coughing, sore throat · Healthcare visit (other): Test for Covid
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-08-17
    Report sent to call center — day 21, dose 2, dependent
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-08-24
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2021-08-24
  23. 2021-08-31
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2021-09-07
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2021-10-26
  26. 2022-01-02
    Dose 3 — Pfizer-BioNTech
  27. 2022-01-25
    Survey response — 6 months, dose 2, dependent
    MedDRA: Chills, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Had a fever of over 101 F for about 3 hours and chills for a couple of hours.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-07-29
  29. 2023-01-02
    Survey response — 12 months, dose 3, dependent
    MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-07-06Pfizer-BioNTech No
22021-07-27Pfizer-BioNTech No
32022-01-02Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1, dependent

2021-07-07

Systemic reaction (other): Nose running with green mucus

Release 9 — days 1–6 daily, dose 2, dependent

2021-07-28

Systemic reaction (other): Heat rate 114

2021-07-29

Systemic reaction (other): Heart rate 84

Release 9 — day 21, dose 2, dependent

2021-08-17

Symptoms: Stuffy nose, coughing, sore throat
Healthcare visit (other): Test for Covid

Release 11 — 6 months, dose 2, dependent

2022-01-25

Symptoms: Had a fever of over 101 F for about 3 hours and chills for a couple of hours.

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
HCVOSARS-CoV-2 test ✓ · ✓
SDChills · · ✓
SDCough ✓ · ✓
SDNasal congestion ✓ · ✓
SDOropharyngeal pain ✓ · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SRORhinorrhoea ✓ ✓ ✓
SROUnevaluable event ✓ · ✓

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