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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

  1. 2021-11-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-11
    Registered in v-safe
  3. 2021-12-11
    Dose 2 — Pfizer-BioNTech
  4. 2021-12-11
    Health check-in — day 0, dose 2, dependent
    Feeling: 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 activities
    Adult check-in
  5. 2021-12-13
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: 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 school
    Adult check-in
  6. 2021-12-17
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Headache, Nausea
    Adult check-in
  7. 2021-12-18
    Health check-in — day 7, dose 2, dependent
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-12-25
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  9. 2022-01-01
    Health check-in — day 21, dose 2, dependent
    Feeling: Fair
    Adult check-in
  10. 2022-01-08
    Survey response — day 28, dose 2, dependent
    MedDRA: Fatigue — Feeling: Fair
    Free text: Tired
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-01-15
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2022-01-22
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2022-03-12
  14. 2022-06-11
  15. 2022-12-11
    Survey response — 12 months, dose 2, dependent
    MedDRA: 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 consultation
    Free 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
  16. 2022-12-11
    Report sent to call center — 12 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  17. 2022-12-12
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-11-18Pfizer-BioNTech No
22021-12-11Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — day 28, dose 2, dependent

2022-01-08

Symptoms: Tired

Release 12 — 12 months, dose 2, dependent

2022-12-11

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

FieldPreferred term2021-092023-042024-11
SDAsthma · · ✓
SDCondition aggravated · · ✓
SDFatigue · · ✓
SDGastrointestinal pain · · ✓
SDNausea · · ✓
SDPre-existing disease · · ✓

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