RSM-20015-20464
2 vaccinations
8 coded responses
18 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 236 / VA
- Registered
- 2021-12-13
- Relationship
- Child or adolescent in my care
- Guardian
- WGG-31034-33675
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-12-13
Registered in v-safe
-
2021-12-13
Dose 1 — Pfizer-BioNTech
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2021-12-13
Health check-in — day 0, dose 1, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-14
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-12-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Chills, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-12-16
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Limb discomfort, Pain in extremity — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal painFree text: Left arm is sore. Feels HeavyMedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-12-18
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2021-12-20
Survey response — day 7, dose 1, dependentMedDRA: Muscle fatigue — Feeling: Good · Fatigue or tirednessFree text: Left arm feels tiredMedDRA releases: 2024-11 · check-in free text available
- 2021-12-29
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2022-01-03
Dose 2 — Pfizer-BioNTech
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2022-01-04
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Limb discomfort, Pain in extremity — Feeling: Poor · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Left arm feels heavy and soreMedDRA releases: 2024-11 · check-in free text available
-
2022-01-06
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Limb discomfort, Pain in extremity — Feeling: Good · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Left arm is still Sore and feels heavyMedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Limb discomfort, Pain in extremity — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Left arm feels heavy and soreMedDRA releases: 2024-11 · check-in free text available
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2022-01-09
Survey response — days 1–6 daily, dose 2, dependentMedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2022-01-19
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2022-01-24
Survey response — day 21, dose 2, dependentMedDRA: Headache, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Runny nose, headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-01-31
- 2022-02-09
- 2022-02-19
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2022-04-06
Survey response — 3 months, dose 2, dependentMedDRA: Epistaxis — Feeling: Fair · Be unable to work or attend schoolFree text: More nose bleedsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-13 | Pfizer-BioNTech | No |
| 2 | 2022-01-03 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Left arm is sore. Feels Heavy
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Left arm feels tired
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Left arm feels heavy and sore
Systemic reaction (other): Left arm is still Sore and feels heavy
Systemic reaction (other): Left arm feels heavy and sore
Systemic reaction (other): None
Release 11 — day 21, dose 2, dependent
Symptoms: Runny nose, headache
Release 11 — 3 months, dose 2, dependent
Symptoms: More nose bleeds
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 | Epistaxis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Limb discomfort | · | · | ✓ |
| SRO | Muscle fatigue | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release