YC6-50457-70939

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 12-15
ZIP prefix: 582 / ND
Registered: 2021-10-20

Relationship: Child or adolescent in my care
Guardian: ACE-22673-50959
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-10-20
Registered in v-safe
2021-10-20
Dose 1 — Pfizer-BioNTech
2021-10-20
Health check-in — day 0, dose 1, dependent
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-10-26
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Eye disorder, Vision blurred, Visual impairment — Feeling: Good · Be unable to do your normal daily activities

Free text: Weird eye issueshard read, focus, vision blurry

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-11-10
Dose 2 — Pfizer-BioNTech
2021-11-10
Survey response — day 0, dose 2, dependent
MedDRA: Photophobia, Visual impairment — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light sensitive eyes Vision issues

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Eye disorder, Vision blurred — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Eye issues hard focus read etc

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-11-15
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Dizziness, Exercise tolerance decreased, Fatigue — Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Exercises at gym had to cut short dizzy tired fatigue on well

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Covid vaccine rash

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 7, dose 2, dependent
MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Rash started several days ago. He didn't tell us at first. It just keeps spreading.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — day 14, dose 2, dependent
MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash on body keeps spreading

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Report sent to call center — day 14, dose 2, dependent
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-03
Health check-in — day 21, dose 2, dependent
Feeling: Fair

Adult check-in
2021-12-08
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-15
Survey response — day 35, dose 2, dependent
MedDRA: COVID-19, Cough, Fatigue, Headache, Pain, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school

Free text: Coughing, headache, runny nose, fever, fatigue. Aching. Brady at 13 years old positive for COVID. He has been fully vaccinated since 11-10. He caught COVID after spending less than 60 minutes total over course 3 days with someone fully vaccinated

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Call 1 — Left Voicemail
2022-02-09
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-20	Pfizer-BioNTech	No
2	2021-11-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-24	Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-10-26

Systemic reaction (other): Weird eye issueshard read, focus, vision blurry

Release 10 — day 0, dose 2, dependent

2021-11-10

Systemic reaction (other): Light sensitive eyes Vision issues

Release 10 — days 1–6 daily, dose 2, dependent

2021-11-11

Systemic reaction (other): Eye issues hard focus read etc

2021-11-15

Systemic reaction (other): Exercises at gym had to cut short dizzy tired fatigue on well

2021-11-16

Systemic reaction (other): Covid vaccine rash

Release 10 — day 7, dose 2, dependent

2021-11-17

Systemic reaction (other): Rash started several days ago. He didn't tell us at first. It just keeps spreading.

Release 10 — day 14, dose 2, dependent

2021-11-24

Symptoms: Rash on body keeps spreading

Release 10 — day 35, dose 2, dependent

2021-12-15

Symptoms: Coughing, headache, runny nose, fever, fatigue. Aching. Brady at 13 years old positive for COVID. He has been fully vaccinated since 11-10. He caught COVID after spending less than 60 minutes total over course 3 days with someone fully vaccinated cut off by CDC

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Exercise tolerance decreased	·	·	✓
SRO	Eye disorder	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Photophobia	·	·	✓
SRO	Rash	·	·	✓
SRO	Vision blurred	·	·	✓
SRO	Visual impairment	·	·	✓

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