Z9D-19902-69874
2 vaccinations
1 coded response
22 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 782 / TX
- Registered
- 2021-08-06
- Relationship
- Child or adolescent in my care
- Guardian
- 9C4-28049-29382
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-06
Registered in v-safe
-
2021-08-06
Dose 1 — Pfizer-BioNTech
- 2021-08-06
-
2021-08-07
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-08-08
- 2021-08-10
- 2021-08-11
- 2021-08-12
- 2021-08-15
- 2021-08-20
-
2021-08-27
Dose 2 — Pfizer-BioNTech
-
2021-08-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-08-29
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-08-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-08-31
- 2021-09-01
- 2021-09-02
- 2021-09-03
- 2021-09-12
- 2021-09-19
- 2021-09-24
- 2021-10-03
- 2021-10-08
-
2021-11-29
Health check-in — 3 months, dose 2, dependentFeeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Muscle weakness, unexplained leg & knee pain when he walks or stands. We are not sure why he is experiencing this but is seeing a few doctors to try and figure out why its happening. It has gotten worse over the last 4-6 weeks. The cause is unknown · Healthcare visit (other): Visit with his pediatrician, and chiropractor andAdult check-in · check-in free text available
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2022-08-28
Survey response — 12 months, dose 2, dependentMedDRA: Arthralgia, Gait disturbance, Muscular weakness, Office visit, Pain in extremity — 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 visit, Emergency room or emergency department visitFree text: Leg pain Knee pain and muscle weakness Crouch gait pattern walk Doctors are unable to pinpoint what's causing it. I'm not sure if it's because of the vaccine but I'm saying yes until doctors can figure out what's wrong and what caused it.MedDRA releases: 2024-11 · check-in free text available
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2022-08-28
Report sent to call center — 12 months, dose 2, 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 · Emergency room or emergency department visit · 1 call case(s)
- 2022-08-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-06 | Pfizer-BioNTech | No |
| 2 | 2021-08-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-28 | Unsuccessful |
Free text
Release 12 — 3 months, dose 2, dependent
Symptoms: Muscle weakness, unexplained leg & knee pain when he walks or stands. We are not sure why he is experiencing this but is seeing a few doctors to try and figure out why its happening. It has gotten worse over the last 4-6 weeks. The cause is unknown cut off by CDC
Healthcare visit (other): Visit with his pediatrician, and chiropractor and
Release 12 — 12 months, dose 2, dependent
Symptoms: Leg pain Knee pain and muscle weakness Crouch gait pattern walk Doctors are unable to pinpoint what's causing it. I'm not sure if it's because of the vaccine but I'm saying yes until doctors can figure out what's wrong and what caused it.
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 | Arthralgia | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release