MEF-13198-54471
2 vaccinations
2 coded responses
25 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 492 / MI
- Registered
- 2021-11-16
- Relationship
- Child or adolescent in my care
- Guardian
- J5R-11028-01180
- Race
- Other
- Ethnicity
- N/A
Timeline
-
2021-11-16
Registered in v-safe
-
2021-11-16
Dose 1 — Pfizer-BioNTech
- 2021-11-16
-
2021-11-17
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-18
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · ChillsAdult check-in
-
2021-11-19
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · HeadacheAdult check-in
-
2021-11-20
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-21
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-22
- 2021-11-25
- 2021-11-30
-
2021-12-07
Survey response — day 21, dose 1, dependentMedDRA: Dyspnoea, Headache — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Short of breath HeadachesMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Report sent to call center — day 21, dose 1, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-08
- 2021-12-14
- 2021-12-21
-
2021-12-23
Dose 2 — Pfizer-BioNTech
-
2021-12-25
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-26
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-12-27
- 2021-12-29
- 2021-12-30
- 2022-01-06
- 2022-01-13
-
2022-01-20
Survey response — day 28, dose 2, dependentMedDRA: Dyspnoea exertional, Productive cough — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Wet cough that will not go away. Exercise induced shortness of breath.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-20
Report sent to call center — day 28, dose 2, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-21
-
2022-01-21
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-27
- 2022-02-03
- 2022-03-25
- 2022-06-25
- 2022-12-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-16 | Pfizer-BioNTech | No |
| 2 | 2021-12-23 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — day 21, dose 1, dependent
Symptoms: Short of breath Headaches
Release 10 — day 28, dose 2, dependent
Symptoms: Wet cough that will not go away. Exercise induced shortness of breath.
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 | Dyspnoea | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release