GLT-11427-10696
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 605 / IL
- Registered
- 2021-11-19
- Relationship
- Child or adolescent in my care
- Guardian
- 4HC-27586-17527
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-17
Dose 1 — Pfizer-BioNTech
-
2021-11-19
Registered in v-safe
-
2021-11-19
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Injection site pain, Pain, Self-medication — Feeling: Good · Site: Pain, RednessFree text: On 11.17.21 no pain. On 11.18.21 0700 pain at dite when moving arm. By 1800 pain when moving was more severe than the morning and I took acetaminophen..MedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-21
- 2021-11-28
- 2021-12-01
- 2021-12-08
-
2021-12-09
Dose 2 — Pfizer-BioNTech
-
2021-12-10
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Moderate pain when touching site of injection.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
-
2021-12-13
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
-
2021-12-15
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Myalgia, Pain, Pulmonary embolism — Feeling: Good · Muscle or body achesFree text: Aches probably due to PE performance test resulting in sore muscles.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-06
- 2022-01-15
- 2022-01-22
-
2022-03-12
Survey response — 3 months, dose 2, dependentMedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-06-09
Survey response — 6 months, dose 2, dependentMedDRA: Influenza, Influenza virus test, Nasopharyngitis, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Influenza A in April. A cold in end of May (negative for Covid with home test). · Healthcare visit (other): Pediatrician visit and testing to rule out covid and confirm flu diagnosis.MedDRA releases: 2024-11 · check-in free text available
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2022-06-09
Report sent to call center — 6 months, 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 pr1 call case(s)
-
2022-06-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-17 | Pfizer-BioNTech | No |
| 2 | 2021-12-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-09 | Successful 2022-06-10 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): On 11.17.21 no pain. On 11.18.21 0700 pain at dite when moving arm. By 1800 pain when moving was more severe than the morning and I took acetaminophen..
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Moderate pain when touching site of injection.
Systemic reaction (other): Aches probably due to PE performance test resulting in sore muscles.
Release 11 — 3 months, dose 2, dependent
Symptoms: Sore throat
Release 12 — 6 months, dose 2, dependent
Symptoms: Influenza A in April. A cold in end of May (negative for Covid with home test).
Healthcare visit (other): Pediatrician visit and testing to rule out covid and confirm flu diagnosis.
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 |
|---|---|---|---|---|
| HCVO | Influenza virus test | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pulmonary embolism | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release