RX7-46742-62294

3 vaccinations 14 coded responses 38 check-ins 11 free-text entries 1 call case

Sex: Male
Age at first dose: 05-11
ZIP prefix: 024 / MA
Registered: 2022-07-11

Relationship: Child or adolescent in my care
Guardian: A5J-69943-47970
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-07-11
Registered in v-safe
2022-07-11
Dose 1 — Pfizer-BioNTech
2022-07-11
Health check-in — day 0, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-12
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-13
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-15
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-16
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Fever · None

Adult check-in
2022-07-17
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-18
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-25
Survey response — day 14, dose 1, dependent
MedDRA: Sneezing — Feeling: Good

Free text: Sneezing often

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2022-08-08
Survey response — day 28, dose 1, dependent
MedDRA: Cough, Dysphonia, Fatigue, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever 8/6, 8/7, 8/8; "hurts when I cough" 8/8; fatigue 8/6, 8/7, 8/8; hoarse 8/7, 8/8. Second Covid shot is scheduled for 8/12 so 1-year-old sister who got Moderna shot on 7/11 can get second dose at same appointment

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Dose 2 — Pfizer-BioNTech
2022-08-12
Health check-in — day 0, dose 2, dependent
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-08-13
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-08-14
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-08-15
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-08-16
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Feeling hot — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Complained of feeling fever, but did not seem to have fever when I felt forehead

MedDRA releases: 2024-11 · check-in free text available
2022-08-17
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-18
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-08-19
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-26
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2022-09-02
Survey response — day 21, dose 2, dependent
MedDRA: Fatigue, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sneezing, runny nose, sore throat, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-09-16
Survey response — day 35, dose 2, dependent
MedDRA: Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Wednesday 9/14/22 - sore throat, runny nose, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-11-13
Survey response — 3 months, dose 2, dependent
MedDRA: Cough, Fatigue, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headcold Saturday 11/12/22 to present - runny nose, cough, fatigue, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Dose 3 — Pfizer-BioNTech
2022-12-02
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Fatigue, Irritability — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Emotional irritability, probably due to fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-03
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Clumsiness, Fatigue — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Clumsy, could be due to fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-04
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-12-05
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-12-06
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-12-07
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-12-08
Health check-in — day 7, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-12-15
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2022-12-22
Survey response — day 21, dose 3, dependent
MedDRA: Cough, Dysphonia, Fatigue, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: 12/16/22 through 12/18/22 - cough, hoarse, sniffles, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Survey response — day 28, dose 3, dependent
MedDRA: Emotional distress, Fatigue, Food allergy, Mouth swelling, Oral pain — Feeling: Good · Be unable to do your normal daily activities

Free text: 12/28/22 - Allergic reaction to eating walnuts: hives, mouth pain, mouth swelling, emotionally "shut down," fatigue. No shortness of breath. Did not need to use epi-pen.

MedDRA releases: 2024-11 · check-in free text available
2023-01-05
Survey response — day 35, dose 3, dependent
MedDRA: Asthenia, Fatigue, Oropharyngeal discomfort — Feeling: Fair

MedDRA releases: 2024-11
2023-01-12
Survey response — day 42, dose 3, dependent
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-03-02
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2023-06-01
Survey response — 6 months, dose 3, dependent
MedDRA: Ear infection, Respiratory tract infection viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-06-01
Call case (no matching report) — Successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-02
Call 1 — Left Voicemail
2023-06-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-07-11	Pfizer-BioNTech	No
2	2022-08-12	Pfizer-BioNTech	No
3	2022-12-01	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — day 14, dose 1, dependent

2022-07-25

Symptoms: Sneezing often

Release 12 — day 28, dose 1, dependent

2022-08-08

Symptoms: Fever 8/6, 8/7, 8/8; "hurts when I cough" 8/8; fatigue 8/6, 8/7, 8/8; hoarse 8/7, 8/8. Second Covid shot is scheduled for 8/12 so 1-year-old sister who got Moderna shot on 7/11 can get second dose at same appointment

Release 12 — days 1–6 daily, dose 2, dependent

2022-08-16

Systemic reaction (other): Complained of feeling fever, but did not seem to have fever when I felt forehead

2022-08-18

Systemic reaction (other): Cough

Release 12 — day 21, dose 2, dependent

2022-09-02

Symptoms: Sneezing, runny nose, sore throat, fatigue

Release 12 — day 35, dose 2, dependent

2022-09-16

Symptoms: Wednesday 9/14/22 - sore throat, runny nose, fatigue

Release 12 — 3 months, dose 2, dependent

2022-11-13

Symptoms: Headcold Saturday 11/12/22 to present - runny nose, cough, fatigue, sore throat

Release 12 — days 1–6 daily, dose 3, dependent

2022-12-02

Systemic reaction (other): Emotional irritability, probably due to fatigue

2022-12-03

Systemic reaction (other): Clumsy, could be due to fatigue

Release 12 — day 21, dose 3, dependent

2022-12-22

Symptoms: 12/16/22 through 12/18/22 - cough, hoarse, sniffles, fatigue

Release 12 — day 28, dose 3, dependent

2022-12-29

Symptoms: 12/28/22 - Allergic reaction to eating walnuts: hives, mouth pain, mouth swelling, emotionally "shut down," fatigue. No shortness of breath. Did not need to use epi-pen.

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	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Ear infection	·	·	✓
SD	Emotional distress	·	·	✓
SD	Fatigue	·	·	✓
SD	Food allergy	·	·	✓
SD	Mouth swelling	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oral pain	·	·	✓
SD	Oropharyngeal discomfort	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract infection viral	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Clumsiness	·	·	✓
SRO	Cough	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Irritability	·	·	✓

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