V5A-26775-20875
4 vaccinations
1 coded response
45 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 762 / TX
- Registered
- 2021-11-12
- Relationship
- Child or adolescent in my care
- Guardian
- F9V-17747-20710
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-12
Registered in v-safe
-
2021-11-12
Dose 1 — Pfizer-BioNTech
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
-
2021-12-03
Dose 2 — Pfizer-BioNTech
- 2021-12-03
-
2021-12-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-05
- 2021-12-07
- 2021-12-09
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-01-16
- 2022-03-04
-
2022-05-25
Dose 3 — Pfizer-BioNTech
-
2022-05-26
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-27
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-23
- 2022-07-01
- 2022-07-06
- 2022-08-24
-
2022-11-23
Survey response — 6 months, dose 3, dependentMedDRA: Emergency care, Office visit, Seizure — Feeling: GoodFree text: (b)(6) had a sort of seizure on October 19. It's likely unrelated to the vaccine but just in case I am sending the info. We went to the ER. We followed up with the pediatrician and neurologist. No abnormalities we're found on all tests.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-10
Dose 4 — Pfizer-BioNTech
-
2022-12-11
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-12-12
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-12-13
- 2022-12-15
- 2022-12-16
- 2022-12-17
- 2022-12-24
- 2023-01-02
- 2023-01-07
- 2023-01-16
- 2023-01-21
- 2023-03-11
- 2023-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Pfizer-BioNTech | No |
| 2 | 2021-12-03 | Pfizer-BioNTech | No |
| 3 | 2022-05-25 | Pfizer-BioNTech | No |
| 4 | 2022-12-10 | Pfizer-BioNTech | No |
Free text
Release 12 — 6 months, dose 3, dependent
Symptoms: (b)(6) had a sort of seizure on October 19. It's likely unrelated to the vaccine but just in case I am sending the info. We went to the ER. We followed up with the pediatrician and neurologist. No abnormalities we're found on all tests.
redacted (b)(6)
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 | Emergency care | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Seizure | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release