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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

  1. 2021-12-13
    Registered in v-safe
  2. 2021-12-13
    Dose 1 — Pfizer-BioNTech
  3. 2021-12-13
    Health check-in — day 0, dose 1, dependent
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-12-14
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  5. 2021-12-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Chills, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  6. 2021-12-16
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Limb discomfort, Pain in extremity — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain
    Free text: Left arm is sore. Feels Heavy
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-12-18
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-12-20
    Survey response — day 7, dose 1, dependent
    MedDRA: Muscle fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Left arm feels tired
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-12-29
    Health check-in — day 14, dose 1, dependent
    Feeling: Fair
    Adult check-in
  11. 2022-01-03
    Dose 2 — Pfizer-BioNTech
  12. 2022-01-04
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Limb discomfort, Pain in extremity — Feeling: Poor · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to work or attend school
    Free text: Left arm feels heavy and sore
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-01-06
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Limb discomfort, Pain in extremity — Feeling: Good · Headache, Fatigue or tiredness · Be unable to work or attend school
    Free text: Left arm is still Sore and feels heavy
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-01-07
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Limb discomfort, Pain in extremity — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Left arm feels heavy and sore
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-01-09
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-01-19
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-01-24
    Survey response — day 21, dose 2, dependent
    MedDRA: Headache, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Runny nose, headache
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-31
    Health check-in — day 28, dose 2, dependent
    Feeling: Fair
    Adult check-in
  19. 2022-02-09
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-02-19
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-04-06
    Survey response — 3 months, dose 2, dependent
    MedDRA: Epistaxis — Feeling: Fair · Be unable to work or attend school
    Free text: More nose bleeds
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-12-13Pfizer-BioNTech No
22022-01-03Pfizer-BioNTech No

Free text

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

2021-12-16

Systemic reaction (other): Left arm is sore. Feels Heavy

Release 10 — day 7, dose 1, dependent

2021-12-20

Systemic reaction (other): Left arm feels tired

Release 10 — days 1–6 daily, dose 2, dependent

2022-01-04

Systemic reaction (other): Left arm feels heavy and sore

2022-01-06

Systemic reaction (other): Left arm is still Sore and feels heavy

2022-01-07

Systemic reaction (other): Left arm feels heavy and sore

2022-01-09

Systemic reaction (other): None

Release 11 — day 21, dose 2, dependent

2022-01-24

Symptoms: Runny nose, headache

Release 11 — 3 months, dose 2, dependent

2022-04-06

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

FieldPreferred term2021-092023-042024-11
SDEpistaxis · · ✓
SDHeadache · · ✓
SDRhinorrhoea · · ✓
SROLimb discomfort · · ✓
SROMuscle fatigue · · ✓
SRONo adverse event · · ✓
SROPain in extremity · · ✓

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