LA7-23442-42273

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 2 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 120 / NY
Registered: 2022-01-13

Relationship: Child or adolescent in my care
Guardian: ZL4-85336-77945
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-01-13
Registered in v-safe
2022-01-13
Dose 1 — Pfizer-BioNTech
2022-01-13
Health check-in — day 0, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-14
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Fatigue, Restlessness — Feeling: Fair · Site: Pain · Headache

Free text: Fatigue, Antsy

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Headache, Joint pains

Adult check-in
2022-01-19
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Joint pains

Adult check-in
2022-01-20
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-01-27
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 21, dose 1, dependent
Feeling: Fair

Adult check-in
2022-02-10
Health check-in — day 28, dose 1, dependent
Feeling: Good

Adult check-in
2022-02-17
Dose 2 — Pfizer-BioNTech
2022-02-17
Survey response — day 0, dose 2, dependent
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fever · Headache, Abdominal pain

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2022-02-18
Report sent to call center — days 1–6 daily, dose 2, dependent
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-19
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-02-20
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Epistaxis, Irritability — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Blood nose and irritability

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-22
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Irritability — Feeling: Good · Fatigue or tiredness

Free text: Irritable

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Call successful
Participant prefers to complete VAERS report online
2022-02-23
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-02-24
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

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

Adult check-in
2022-03-10
Health check-in — day 21, dose 2, dependent
Feeling: Fair

Adult check-in
2022-03-17
Survey response — day 28, dose 2, dependent
MedDRA: Pain, Skin burning sensation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Burning sensation on my back skin. Awful body pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Report sent to call center — day 28, dose 2, dependent
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-23
Call 1 — Could Not Reach Participant
2022-03-24
Survey response — day 35, dose 2, dependent
MedDRA: Ear pain, Headache, Pain, Sinus pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Had severe headache, sinus and ear pain, body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Call successful
Participant prefers to complete VAERS report online
2022-03-31
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-05-19
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-08-18
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2023-02-18
Health check-in — 12 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-01-13	Pfizer-BioNTech	No
2	2022-02-17	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-18	Successful 2022-02-22	Participant prefers to complete VAERS report online
2022-03-17	Successful 2022-03-28	Participant prefers to complete VAERS report online

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2022-01-14

Systemic reaction (other): Fatigue, Antsy

Release 11 — day 0, dose 2, dependent

2022-02-17

Systemic reaction (other): Chest pain

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

2022-02-20

Systemic reaction (other): Blood nose and irritability

2022-02-22

Systemic reaction (other): Irritable

Release 11 — day 28, dose 2, dependent

2022-03-17

Symptoms: Burning sensation on my back skin. Awful body pain

Release 11 — day 35, dose 2, dependent

2022-03-24

Symptoms: Had severe headache, sinus and ear pain, body aches.

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	Ear pain	·	·	✓
SD	Headache	·	·	✓
SD	Pain	·	·	✓
SD	Sinus pain	·	·	✓
SD	Skin burning sensation	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Epistaxis	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Irritability	·	·	✓
SRO	Restlessness	·	·	✓

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