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YFY-73771-93036

3 vaccinations 6 coded responses 9 check-ins 5 free-text entries 2 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
841 / UT
Registered
2022-02-18
Relationship
Child or adolescent in my care
Guardian
QQF-14171-14855
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-01-06
    Dose 1 — Pfizer-BioNTech
  2. 2022-01-28
    Dose 2 — Pfizer-BioNTech
  3. 2022-02-18
    Registered in v-safe
  4. 2022-02-19
    Survey response — day 21, dose 2, dependent
    MedDRA: Abdominal pain upper, Anxiety, Chest pain, Fatigue, Headache, Irritability, Lethargy, Mood swings, Myalgia, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Increased moodiness/irritability, anxiety, fatigue/lethargy, headaches, body/muscle aches, one incidence of chest pain, stomach aches, minor sore throat.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-02-26
    Survey response — day 28, dose 2, dependent
    MedDRA: Dyspnoea, Medical counselling, Oropharyngeal pain, Swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Since our last check-in he recovered from previous symptoms for 3 days, after which he had a minor sore throat which then turned into difficulty breathing through his mouth because of swelling. The doctor said to treat it like croup and keep him home
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-03-05
    Survey response — day 35, dose 2, dependent
    MedDRA: Anxiety, Back pain, Headache, Neck pain, Pain, Pain in extremity, Pre-existing disease — Feeling: Good
    Free text: Has had continuing body aches, especially head aches, neck and back pain, but sometimes limbs as well. Also worsening anxiety, but today is a good day because he's home and everything is easier here.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-03-14
    Survey response — day 42, dose 2, dependent
    MedDRA: Nausea — Feeling: Good
    Free text: Nausea
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-05-01
    Survey response — 3 months, dose 2, dependent
    MedDRA: Diarrhoea, Headache, Nausea, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Nausea, diarrhea, headaches, body aches, high fevers lasted a couple weeks, but tested negative for everything.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-05-01
    Report sent to call center — 3 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
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2022-05-03
  11. 2022-07-29
  12. 2022-11-16
    Dose 3 — Pfizer-BioNTech
  13. 2022-12-28
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2023-02-21
  15. 2023-05-17
    Survey response — 6 months, dose 3, dependent
    MedDRA: Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  16. 2023-05-17
    Report sent to call center — 6 months, dose 3, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  17. 2023-05-18
  18. 2023-05-18

Vaccinations

DoseDateManufacturerCo-administered
12022-01-06Pfizer-BioNTech No
22022-01-28Pfizer-BioNTech No
32022-11-16Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-05-01 Unsuccessful
2023-05-17 Unsuccessful

Free text

Release 11 — day 21, dose 2, dependent

2022-02-19

Symptoms: Increased moodiness/irritability, anxiety, fatigue/lethargy, headaches, body/muscle aches, one incidence of chest pain, stomach aches, minor sore throat.

Release 11 — day 28, dose 2, dependent

2022-02-26

Symptoms: Since our last check-in he recovered from previous symptoms for 3 days, after which he had a minor sore throat which then turned into difficulty breathing through his mouth because of swelling. The doctor said to treat it like croup and keep him home cut off by CDC

Release 11 — day 35, dose 2, dependent

2022-03-05

Symptoms: Has had continuing body aches, especially head aches, neck and back pain, but sometimes limbs as well. Also worsening anxiety, but today is a good day because he's home and everything is easier here.

Release 11 — day 42, dose 2, dependent

2022-03-14

Symptoms: Nausea

Release 11 — 3 months, dose 2, dependent

2022-05-01

Symptoms: Nausea, diarrhea, headaches, body aches, high fevers lasted a couple weeks, but tested negative for everything.

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
SDAbdominal pain upper · · ✓
SDAnxiety · · ✓
SDBack pain · · ✓
SDChest pain · · ✓
SDDiarrhoea · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDIrritability · · ✓
SDLethargy · · ✓
SDMedical counselling · · ✓
SDMood swings · · ✓
SDMyalgia · · ✓
SDNausea · · ✓
SDNeck pain · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDPre-existing disease · · ✓
SDPyrexia · · ✓
SDSwelling · · ✓

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