YYG-33124-05291
4 vaccinations
5 coded responses
48 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 112 / NY
- Registered
- 2021-11-08
- Relationship
- Child or adolescent in my care
- Guardian
- 4JV-81073-66230
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-06
Dose 1 — Pfizer-BioNTech
-
2021-11-08
Registered in v-safe
-
2021-11-08
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Muscle or body achesAdult check-in
- 2021-11-09
- 2021-11-12
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
-
2021-12-11
Dose 2 — Pfizer-BioNTech
- 2021-12-11
-
2021-12-12
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-13
- 2021-12-14
- 2021-12-16
- 2021-12-17
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-22
- 2022-03-12
-
2022-05-21
Dose 3 — Pfizer-BioNTech
- 2022-05-21
-
2022-05-22
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Joint painsAdult check-in
-
2022-05-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · HeadacheAdult check-in
-
2022-05-25
Survey response — days 1–6 daily, dose 3, dependentMedDRA: No adverse event — Feeling: Fair · HeadacheFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-05-26
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Medical counselling — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professionalFree text: Visit to school nurseMedDRA releases: 2024-11 · check-in free text available
-
2022-05-26
Report sent to call center — days 1–6 daily, dose 3, dependentGet care from a doctor or other healthcare professional1 call case(s)
-
2022-05-27
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
- 2022-05-27
- 2022-05-28
- 2022-06-04
-
2022-06-11
Survey response — day 21, dose 3, dependentMedDRA: Dyspnoea — Feeling: FairFree text: He complains hard to breatheMedDRA releases: 2024-11 · check-in free text available
- 2022-06-18
- 2022-06-25
- 2022-07-02
- 2022-08-20
-
2022-10-17
Dose 4 — Moderna
- 2022-10-17
-
2022-10-18
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain · NoneAdult check-in
-
2022-10-19
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-10-20
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-10-21
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-22
-
2022-10-23
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Hunger, Irritability — Feeling: Fair · Fatigue or tirednessFree text: Very cranky and hangryMedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-31
- 2022-11-07
-
2022-11-14
Survey response — day 28, dose 4, dependentMedDRA: Influenza virus test negative, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · 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 visitFree text: Cold. Tested negative for flu and Covid and strep on WednesdayMedDRA releases: 2024-11 · check-in free text available
-
2022-11-14
Report sent to call center — day 28, dose 4, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-21
- 2022-11-28
- 2023-01-16
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-06 | Pfizer-BioNTech | No |
| 2 | 2021-12-11 | Pfizer-BioNTech | No |
| 3 | 2022-05-21 | Pfizer-BioNTech | No |
| 4 | 2022-10-17 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 11 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): No
Healthcare visit (other): Visit to school nurse
Release 12 — day 21, dose 3, dependent
Symptoms: He complains hard to breathe
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): Very cranky and hangry
Release 12 — day 28, dose 4, dependent
Symptoms: Cold. Tested negative for flu and Covid and strep on Wednesday
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Hunger | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release