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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

  1. 2021-11-12
    Registered in v-safe
  2. 2021-11-12
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-12
    Survey response — day 0, dose 1, dependent
    MedDRA: No adverse event, Pre-existing disease — Feeling: Good
    Free text: So far nothing but he's non verbal autistic he can't really tell us
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-11-14
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-11-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-11-16
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-11-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-11-21
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-11-26
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-12-03
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-12-10
    Dose 2 — Pfizer-BioNTech
  12. 2021-12-10
    Survey response — day 0, dose 2, dependent
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain
    Free text: He is non verbal autistic so it's really hard to be sure of his symptoms
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-11
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-12-12
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Poor quality sleep, Sneezing — Feeling: Fair
    Free text: Lots of sneezing and really bad night of sleep
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-13
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: 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 consultation
    Free text: Runny nose sneezing might just be really bad allergies some slight asthma wheezing
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-12-13
    Report sent to call center — days 1–6 daily, dose 2, dependent
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  17. 2021-12-14
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work or attend school
    Free text: Asthma issues did pop up. We just don't know if this is vaccinate related. He has allergy induced asthma
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-14
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  19. 2021-12-16
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Asthma, Cough, Ear pain, Respiratory tract congestion — Feeling: Fair · Fever · Be unable to work or attend school
    Free text: Asthma has passed but he's still congested small cough and may have an ear ache
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-12-19
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  21. 2021-12-25
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2021-12-31
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-01-07
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-01-14
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2022-01-23
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  26. 2022-03-11
  27. 2022-06-12
  28. 2022-12-10

Vaccinations

DoseDateManufacturerCo-administered
12021-11-12Pfizer-BioNTech No
22021-12-10Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-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

2021-11-12

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

2021-12-10

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

2021-12-12

Systemic reaction (other): Lots of sneezing and really bad night of sleep

2021-12-13

Systemic reaction (other): Runny nose sneezing might just be really bad allergies some slight asthma wheezing

2021-12-14

Systemic reaction (other): Asthma issues did pop up. We just don't know if this is vaccinate related. He has allergy induced asthma

2021-12-16

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

FieldPreferred term2021-092023-042024-11
SROAsthma · · ✓
SROCough · · ✓
SROEar pain · · ✓
SRONo adverse event · · ✓
SROPoor quality sleep · · ✓
SROPre-existing disease · · ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓
SROSneezing · · ✓
SROWheezing · · ✓

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