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YCM-75608-99740

1 vaccination 6 coded responses 8 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
582 / ND
Registered
2021-12-02
Relationship
Child or adolescent in my care
Guardian
ACE-22673-50959
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-12-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-02
    Registered in v-safe
  3. 2021-12-02
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Aggression, Agitation, Performance status decreased — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Agitated aggressive abnormal. Sports performance decreased.
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-12-03
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Abnormal behaviour, Aggression, Agitation — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Agitated and aggressive. Abnormal behavior.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-12-04
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Abnormal behaviour, Aggression, Agitation — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Aggressive agitated abnormal behaviors
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-05
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Abnormal behaviour, Agitation — Feeling: Fair · Fatigue or tiredness
    Free text: Agitated behavior, still abnormal behavior but getting better
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-06
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Ear discomfort — Feeling: Good
    Free text: For last few days he's said his ears are plugged popping. He's never said this ever before.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-08
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-12-15
    Survey response — day 14, dose 1, dependent
    MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: Good
    Free text: (b)(6) has only had one vaccine and spent 7-10 hours over course 3 days with someone COVID positive. No symptoms and tested negative 2 times. Time to rethink number of days between vaccines 1 and 2 to get better efficacy. What does research say?
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-03-02

Vaccinations

DoseDateManufacturerCo-administered
12021-12-01Pfizer-BioNTech No

Free text

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

2021-12-02

Systemic reaction (other): Agitated aggressive abnormal. Sports performance decreased.

2021-12-03

Systemic reaction (other): Agitated and aggressive. Abnormal behavior.

2021-12-04

Systemic reaction (other): Aggressive agitated abnormal behaviors

2021-12-05

Systemic reaction (other): Agitated behavior, still abnormal behavior but getting better

2021-12-06

Systemic reaction (other): For last few days he's said his ears are plugged popping. He's never said this ever before.

Release 10 — day 14, dose 1, dependent

2021-12-15

Symptoms: (b)(6) has only had one vaccine and spent 7-10 hours over course 3 days with someone COVID positive. No symptoms and tested negative 2 times. Time to rethink number of days between vaccines 1 and 2 to get better efficacy. What does research say? cut off by CDC
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
SDExposure to SARS-CoV-2 · · ✓
SDSARS-CoV-2 test negative · · ✓
SROAbnormal behaviour · · ✓
SROAggression · · ✓
SROAgitation · · ✓
SROEar discomfort · · ✓
SROPerformance status decreased · · ✓

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

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