Z6D-78745-51406
1 vaccination
3 coded responses
4 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 957 / CA
- Registered
- 2022-01-15
- Relationship
- Child or adolescent in my care
- Guardian
- SQ2-14078-40916
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-18
Dose 1 — Pfizer-BioNTech
-
2022-01-15
Registered in v-safe
- 2022-01-15
-
2022-01-22
Survey response — day 35, dose 1, dependentMedDRA: Abnormal behaviour, Anger, Condition aggravated, Disturbance in attention, Mood swings, Pre-existing disease, Tic — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Rage, mood swings, tic like movements, exacerbated sensory issues, low attention spam. Possible neurological issues and brain inflamation. He is not himself and i regret vaccinating him on the first placeMedDRA releases: 2024-11 · check-in free text available
-
2022-01-29
Survey response — day 42, dose 1, dependentMedDRA: Faeces hard, Gastrointestinal inflammation, Inflammation, Irritability, Tic — Feeling: Fair · Be unable to do your normal daily activitiesFree text: He still has a tic ( shrugging hisbears q his shoulders). His irritability is better, he is more patient and can cope better when things dont go his way Still has some inflamation, his stools are hard as well, showing some gut inflamation.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-19
Survey response — 3 months, dose 1, dependentMedDRA: Tic — Feeling: FairFree text: Still have tics that appeared after vaccination. It has not improved.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-18 | Pfizer-BioNTech | No |
Free text
Release 11 — day 35, dose 1, dependent
Symptoms: Rage, mood swings, tic like movements, exacerbated sensory issues, low attention spam. Possible neurological issues and brain inflamation. He is not himself and i regret vaccinating him on the first place
Release 11 — day 42, dose 1, dependent
Symptoms: He still has a tic ( shrugging hisbears q his shoulders). His irritability is better, he is more patient and can cope better when things dont go his way Still has some inflamation, his stools are hard as well, showing some gut inflamation.
Release 11 — 3 months, dose 1, dependent
Symptoms: Still have tics that appeared after vaccination. It has not improved.
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 | Abnormal behaviour | · | · | ✓ |
| SD | Anger | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | Faeces hard | · | · | ✓ |
| SD | Gastrointestinal inflammation | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Mood swings | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Tic | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release