GWR-79016-35361
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 401 / KY
- Registered
- 2021-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- 55J-85885-36541
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-28
Dose 1 — Pfizer-BioNTech
-
2021-06-30
Registered in v-safe
- 2021-06-30
-
2021-07-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do their normal daily activitiesAdult check-in
- 2021-07-02
- 2021-07-03
-
2021-07-04
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Contusion — Feeling: Good · Site: RednessFree text: Bruise hugeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-05
-
2021-07-12
Survey response — day 14, dose 1, dependentMedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection site not going away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-19
Dose 2 — Pfizer-BioNTech
-
2021-07-20
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
-
2021-07-21
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-07-22
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do their normal daily activitiesAdult check-in
- 2021-07-23
- 2021-07-28
- 2021-08-02
- 2021-08-09
- 2021-08-16
-
2021-08-23
Survey response — day 35, dose 2, dependentMedDRA: Chest discomfort, Deafness unilateral, Ear infection, Malaise, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend schoolFree text: Double ear infection. Cant hear out on my left ear. Been sick since Ive had this shot. Second round of antibiotics. Still nothing better. Sore throat. Tight chest. Covid test negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-30
-
2022-01-19
Survey response — 6 months, dose 2, dependentMedDRA: Cough, Headache, Pyrexia, Secretion discharge — Feeling: Poor · Be unable to work or attend schoolFree text: Coughing, fever, mucus, headache.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-28 | Pfizer-BioNTech | No |
| 2 | 2021-07-19 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Bruise huge
Release 9 — day 14, dose 1, dependent
Symptoms: Bruising at injection site not going away.
Release 9 — day 35, dose 2, dependent
Symptoms: Double ear infection. Cant hear out on my left ear. Been sick since Ive had this shot. Second round of antibiotics. Still nothing better. Sore throat. Tight chest. Covid test negative.
Release 10 — 6 months, dose 2, dependent
Symptoms: Coughing, fever, mucus, headache.
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 | Chest discomfort | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Deafness unilateral | ✓ | · | ✓ |
| SD | Ear infection | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release