E9M-18423-96545

3 vaccinations 6 coded responses 34 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 12-15
ZIP prefix: 061 / CT
Registered: 2022-01-24

Relationship: Child or adolescent in my care
Guardian: Q6B-32536-53200
Race: Multiracial
Ethnicity: 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

2022-01-24
Registered in v-safe
2022-01-24
Dose 1 — Pfizer-BioNTech
2022-01-24
Health check-in — day 0, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-25
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-01-26
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Just his arms a little swore but not as bad like yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Arm still little soar

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-01-29
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-02-01
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-02-07
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2022-03-04
Dose 2 — Pfizer-BioNTech
2022-03-04
Health check-in — day 0, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-03-06
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Headache

Adult check-in
2022-03-07
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Headache, Neck pain, Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: The back of his neck hurts after he got the shot he had a head but that's gone now he had the headache since last night but not today just what I wrote about that's it

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Neck pain, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Arms hurt and back of neck hurts

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-03-10
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-03-11
Health check-in — day 7, dose 2, dependent
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-03-18
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-25
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-04-01
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-04-08
Survey response — day 35, dose 2, dependent
MedDRA: Cough, Oropharyngeal pain, Secretion discharge, Viral infection — Feeling: Fair · Be unable to work or attend school

Free text: Has a virus for a couple of days now but is going away.Feeling better throat was hurting, cough ,mucus symptoms but again feeling a lot better as of now.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-06-03
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-08-10
Dose 3 — Pfizer-BioNTech
2022-08-10
Health check-in — day 0, dose 3, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-08-11
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-08-13
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-08-14
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-08-16
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-08-17
Health check-in — day 7, dose 3, dependent
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-08-24
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2022-08-31
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-07
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-16
Survey response — day 35, dose 3, dependent
MedDRA: Ear discomfort, Loss of personal independence in daily activities, Nasopharyngitis, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: He has a little seasonal cold throat hurts he couldn't go to school and had a fever too but hee we is in school now with just soar throat and ears a little clogged

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-11-11
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2023-02-10
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-01-24	Pfizer-BioNTech	No
2	2022-03-04	Pfizer-BioNTech	No
3	2022-08-10	Pfizer-BioNTech	No

Free text

Release 11 — days 1–6 daily, dose 1, dependent

2022-01-26

Systemic reaction (other): Just his arms a little swore but not as bad like yesterday

2022-01-27

Systemic reaction (other): Arm still little soar

Release 11 — days 1–6 daily, dose 2, dependent

2022-03-07

Systemic reaction (other): The back of his neck hurts after he got the shot he had a head but that's gone now he had the headache since last night but not today just what I wrote about that's it

2022-03-08

Systemic reaction (other): Arms hurt and back of neck hurts

Release 11 — day 35, dose 2, dependent

2022-04-08

Symptoms: Has a virus for a couple of days now but is going away.Feeling better throat was hurting, cough ,mucus symptoms but again feeling a lot better as of now.

Release 12 — day 35, dose 3, dependent

2022-09-16

Symptoms: He has a little seasonal cold throat hurts he couldn't go to school and had a fever too but hee we is in school now with just soar throat and ears a little clogged

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	Cough	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Viral infection	·	·	✓
SRO	Headache	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Unevaluable event	·	·	✓

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