XL8-25111-15708
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 891 / NV
- Registered
- 2021-11-12
- Relationship
- Child or adolescent in my care
- Guardian
- WJN-13441-76813
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-12
Registered in v-safe
-
2021-11-12
Dose 1 — Pfizer-BioNTech
-
2021-11-12
Survey response — day 0, dose 1, dependentMedDRA: No adverse event, Pre-existing disease — Feeling: GoodFree text: So far nothing but he's non verbal autistic he can't really tell usMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2021-11-16
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2021-11-17
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-11-21
- 2021-11-26
- 2021-12-03
-
2021-12-10
Dose 2 — Pfizer-BioNTech
-
2021-12-10
Survey response — day 0, dose 2, dependentMedDRA: Pre-existing disease — Feeling: Good · Site: PainFree text: He is non verbal autistic so it's really hard to be sure of his symptomsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-11
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-12-12
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Poor quality sleep, Sneezing — Feeling: FairFree text: Lots of sneezing and really bad night of sleepMedDRA releases: 2024-11 · check-in free text available
-
2021-12-13
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Asthma, Rhinorrhoea, Sneezing, Wheezing — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Runny nose sneezing might just be really bad allergies some slight asthma wheezingMedDRA releases: 2024-11 · check-in free text available
-
2021-12-13
Report sent to call center — days 1–6 daily, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-12-14
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Pre-existing disease — Feeling: Fair · Be unable to work or attend schoolFree text: Asthma issues did pop up. We just don't know if this is vaccinate related. He has allergy induced asthmaMedDRA releases: 2024-11 · check-in free text available
-
2021-12-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-12-16
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Asthma, Cough, Ear pain, Respiratory tract congestion — Feeling: Fair · Fever · Be unable to work or attend schoolFree text: Asthma has passed but he's still congested small cough and may have an ear acheMedDRA releases: 2024-11 · check-in free text available
- 2021-12-19
- 2021-12-25
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-01-23
- 2022-03-11
- 2022-06-12
- 2022-12-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Pfizer-BioNTech | No |
| 2 | 2021-12-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-13 | Successful 2021-12-14 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — day 0, dose 1, dependent
Systemic reaction (other): So far nothing but he's non verbal autistic he can't really tell us
Release 10 — day 0, dose 2, dependent
Systemic reaction (other): He is non verbal autistic so it's really hard to be sure of his symptoms
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Lots of sneezing and really bad night of sleep
Systemic reaction (other): Runny nose sneezing might just be really bad allergies some slight asthma wheezing
Systemic reaction (other): Asthma issues did pop up. We just don't know if this is vaccinate related. He has allergy induced asthma
Systemic reaction (other): Asthma has passed but he's still congested small cough and may have an ear ache
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 |
|---|---|---|---|---|
| SRO | Asthma | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release