MW5-33292-61201
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 038 / NH
- Registered
- 2022-02-23
- Relationship
- Child or adolescent in my care
- Guardian
- 588-76641-59438
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-01-15
Dose 1 — Pfizer-BioNTech
-
2022-02-21
Dose 2 — Pfizer-BioNTech
-
2022-02-23
Registered in v-safe
-
2022-02-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2022-02-24
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-02-25
- 2022-02-26
- 2022-02-27
- 2022-02-28
- 2022-03-07
- 2022-03-14
-
2022-03-30
Survey response — day 35, dose 2, dependentMedDRA: Mental disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I know first hand either Covid itself or the Pfizer vaccine caused mental health issues for me. I believe it has with my son as well. He's (b)(6) so he's unable to explain. His behavior is worse after receiving the vaccine but could be a coincidencMedDRA releases: 2024-11 · check-in free text available
-
2022-05-29
Survey response — 3 months, dose 2, dependentMedDRA: Headache, Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to work or attend schoolFree text: Seasonal Allergies seem worse than before. Also having headaches more recently.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-24
Survey response — 6 months, dose 2, dependentMedDRA: Chest pain, Dyspnoea, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: About a week of shortness of breath and chest pain with a sore throatMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-15 | Pfizer-BioNTech | No |
| 2 | 2022-02-21 | Pfizer-BioNTech | No |
Free text
Release 11 — day 35, dose 2, dependent
Symptoms: I know first hand either Covid itself or the Pfizer vaccine caused mental health issues for me. I believe it has with my son as well. He's (b)(6) so he's unable to explain. His behavior is worse after receiving the vaccine but could be a coincidenc cut off by CDC
redacted (b)(6)
Release 11 — 3 months, dose 2, dependent
Symptoms: Seasonal Allergies seem worse than before. Also having headaches more recently.
Release 12 — 6 months, dose 2, dependent
Symptoms: About a week of shortness of breath and chest pain with a sore throat
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 pain | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Mental disorder | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release