YHG-19691-16399
2 vaccinations
9 coded responses
24 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 640 / MO
- Registered
- 2021-12-01
- Relationship
- Child or adolescent in my care
- Guardian
- 7FJ-17473-86378
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-01
Registered in v-safe
-
2021-12-01
Dose 1 — Pfizer-BioNTech
- 2021-12-01
-
2021-12-02
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-12-04
- 2021-12-05
- 2021-12-07
- 2021-12-08
-
2021-12-15
Survey response — day 14, dose 1, dependentMedDRA: Headache, Sinus congestion, Sneezing — Feeling: FairFree text: Headache, sneezing, sinus congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Survey response — day 21, dose 1, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Congestion, cough. His brother has the fluMedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Dose 2 — Pfizer-BioNTech
- 2021-12-29
-
2021-12-30
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Anxiety, Pre-existing disease — Feeling: GoodFree text: Heightened anxiety. Has diagnosed anxiety before vaccines.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Nausea, Abdominal painAdult check-in
- 2022-01-01
- 2022-01-02
- 2022-01-03
- 2022-01-04
-
2022-01-06
Survey response — day 7, dose 2, dependentMedDRA: Headache, Musculoskeletal chest pain — Feeling: GoodFree text: Left upper rib pain and headache only when running for a little whileMedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
- 2022-01-22
-
2022-01-27
Survey response — day 28, dose 2, dependentMedDRA: Eye pruritus, Fatigue, Lacrimation increased, Nausea, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend schoolFree text: Congestion, nausea, itchy watery eyes, body aches, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-02-02
Survey response — day 35, dose 2, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Still congested and has a cough. No fever ever showed.MedDRA releases: 2024-11 · check-in free text available
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2022-02-09
Survey response — day 42, dose 2, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Congestion and a dry coughMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Survey response — 3 months, dose 2, dependentMedDRA: Anxiety, Cough, Personality disorder, Wheezing — Feeling: FairFree text: Cough and wheezing. Diagnosed with anxiety and perfectionism and placed on 1mg Gaunfacine Hcl twice a day.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-01
-
2022-12-29
Survey response — 12 months, dose 2, dependentMedDRA: Heart rate increased, Rash, Streptococcal infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Strep with fever and sudden high bpm of 224 and developed a strep rash. He did not receive antibiotics because they aren't availableMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-01 | Pfizer-BioNTech | No |
| 2 | 2021-12-29 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Headache, sneezing, sinus congestion
Release 10 — day 21, dose 1, dependent
Symptoms: Congestion, cough. His brother has the flu
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Heightened anxiety. Has diagnosed anxiety before vaccines.
Release 10 — day 7, dose 2, dependent
Systemic reaction (other): Left upper rib pain and headache only when running for a little while
Release 11 — day 28, dose 2, dependent
Symptoms: Congestion, nausea, itchy watery eyes, body aches, fatigue
Release 11 — day 35, dose 2, dependent
Symptoms: Still congested and has a cough. No fever ever showed.
Release 11 — day 42, dose 2, dependent
Symptoms: Congestion and a dry cough
Release 11 — 3 months, dose 2, dependent
Symptoms: Cough and wheezing. Diagnosed with anxiety and perfectionism and placed on 1mg Gaunfacine Hcl twice a day.
Release 12 — 12 months, dose 2, dependent
Symptoms: Strep with fever and sudden high bpm of 224 and developed a strep rash. He did not receive antibiotics because they aren't available
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 | Anxiety | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Personality disorder | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Musculoskeletal chest pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release