U54-18121-97636
2 vaccinations
2 coded responses
22 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 125 / NY
- Registered
- 2021-11-21
- Relationship
- Child or adolescent in my care
- Guardian
- YF6-16059-08198
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-21
Registered in v-safe
-
2021-11-21
Dose 1 — Pfizer-BioNTech
-
2021-11-21
Health check-in — day 0, dose 1, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-22
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend schoolAdult check-in
-
2021-11-23
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend schoolAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-12-05
-
2021-12-12
Dose 2 — Pfizer-BioNTech
- 2021-12-12
- 2021-12-15
-
2021-12-16
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2021-12-17
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-12-18
- 2021-12-21
- 2021-12-26
- 2022-01-02
-
2022-01-09
Survey response — day 28, dose 2, dependentMedDRA: Axillary pain, Bronchitis, Nasopharyngitis, Oedema peripheral, Oral herpes, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Got a cold, sinus infection, bronchitis and a cold sore out break along with swollen armpit and pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-03-13
- 2022-06-12
-
2022-12-12
Survey response — 12 months, dose 2, dependentMedDRA: Inflammation, Malaise, Myositis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Constantly sick, but it's a bad year. Still have terribly inflamed fascia and muscles on the side of the injection site almost two years onMedDRA releases: 2024-11 · check-in free text available
-
2022-12-12
Report sent to call center — 12 months, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-21 | Pfizer-BioNTech | No |
| 2 | 2021-12-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-12 | Unsuccessful |
Free text
Release 10 — day 28, dose 2, dependent
Symptoms: Got a cold, sinus infection, bronchitis and a cold sore out break along with swollen armpit and pain.
Release 12 — 12 months, dose 2, dependent
Symptoms: Constantly sick, but it's a bad year. Still have terribly inflamed fascia and muscles on the side of the injection site almost two years on
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 | Axillary pain | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myositis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release