VJ7-31169-82011
2 vaccinations
2 coded responses
12 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 480 / MI
- Registered
- 2021-12-11
- Relationship
- Child or adolescent in my care
- Guardian
- KDD-33914-68845
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-18
Dose 1 — Pfizer-BioNTech
-
2021-12-11
Registered in v-safe
-
2021-12-11
Dose 2 — Pfizer-BioNTech
-
2021-12-11
Health check-in — day 0, dose 2, dependentFeeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-13
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2021-12-17
-
2021-12-18
Health check-in — day 7, dose 2, dependentFeeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-25
- 2022-01-01
-
2022-01-08
Survey response — day 28, dose 2, dependentMedDRA: Fatigue — Feeling: FairFree text: TiredMedDRA releases: 2024-11 · check-in free text available
- 2022-01-15
- 2022-01-22
- 2022-03-12
- 2022-06-11
-
2022-12-11
Survey response — 12 months, dose 2, dependentMedDRA: Asthma, Condition aggravated, Fatigue, Gastrointestinal pain, Nausea, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: (b)(6) has developed asthma, a reoccurrence Eosinophilic disease. He has been having serve GI pain. He's had more exhaustion, nausea GI pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-11
Report sent to call center — 12 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-12-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-18 | Pfizer-BioNTech | No |
| 2 | 2021-12-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 28, dose 2, dependent
Symptoms: Tired
Release 12 — 12 months, dose 2, dependent
Symptoms: (b)(6) has developed asthma, a reoccurrence Eosinophilic disease. He has been having serve GI pain. He's had more exhaustion, nausea GI pain.
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 | Asthma | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release