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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

  1. 2022-01-15
    Dose 1 — Pfizer-BioNTech
  2. 2022-02-21
    Dose 2 — Pfizer-BioNTech
  3. 2022-02-23
    Registered in v-safe
  4. 2022-02-23
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2022-02-24
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2022-02-25
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-02-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-02-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-02-28
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-03-07
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  11. 2022-03-14
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2022-03-30
    Survey response — day 35, dose 2, dependent
    MedDRA: Mental disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free 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 coincidenc
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-05-29
    Survey response — 3 months, dose 2, dependent
    MedDRA: Headache, Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to work or attend school
    Free text: Seasonal Allergies seem worse than before. Also having headaches more recently.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-08-24
    Survey response — 6 months, dose 2, dependent
    MedDRA: Chest pain, Dyspnoea, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: About a week of shortness of breath and chest pain with a sore throat
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12022-01-15Pfizer-BioNTech No
22022-02-21Pfizer-BioNTech No

Free text

Release 11 — day 35, dose 2, dependent

2022-03-30

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

2022-05-29

Symptoms: Seasonal Allergies seem worse than before. Also having headaches more recently.

Release 12 — 6 months, dose 2, dependent

2022-08-24

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

FieldPreferred term2021-092023-042024-11
SDChest pain · · ✓
SDDyspnoea · · ✓
SDHeadache · · ✓
SDHypersensitivity · · ✓
SDMental disorder · · ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease · · ✓

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