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ZBM-26321-09268

2 vaccinations 3 coded responses 17 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
223 / VA
Registered
2021-11-11
Relationship
Child or adolescent in my care
Guardian
7GZ-30002-46302
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-11
    Registered in v-safe
  2. 2021-11-11
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-11
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-11-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-11-14
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-11-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Headache
    Adult check-in
  8. 2021-11-18
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-12-02
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-12-03
    Dose 2 — Pfizer-BioNTech
  11. 2021-12-08
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Fatigue, Migraine — Feeling: Good · Be unable to do your normal daily activities
    Free text: Yesterday had fatigue and migraine
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-12
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-12-17
    Survey response — day 14, dose 2, dependent
    MedDRA: Impulse-control disorder, Insomnia, Migraine, Tooth abscess, Tooth infection — Feeling: Good · Be unable to do your normal daily activities
    Free text: 1. has chronic migraines and had one this week 2. new tooth infection (abscess) 3. has had a rough few weeks with difficulty falling asleep and poor impulse control. (may be related to a medication but wanted to make note of it)
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-24
    Survey response — day 21, dose 2, dependent
    MedDRA: Fatigue, Tooth abscess, Tooth extraction — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very tired and not himself. I am well aware that this could be due to his recent tooth abscess, 5 day course of amoxicillin , and subsequent tooth extraction.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-01-02
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-01-07
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-01-14
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-03-04
  19. 2022-06-03
  20. 2022-12-03

Vaccinations

DoseDateManufacturerCo-administered
12021-11-11Pfizer-BioNTech No
22021-12-03Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-08

Systemic reaction (other): Yesterday had fatigue and migraine

Release 10 — day 14, dose 2, dependent

2021-12-17

Symptoms: 1. has chronic migraines and had one this week 2. new tooth infection (abscess) 3. has had a rough few weeks with difficulty falling asleep and poor impulse control. (may be related to a medication but wanted to make note of it)

Release 10 — day 21, dose 2, dependent

2021-12-24

Symptoms: Very tired and not himself. I am well aware that this could be due to his recent tooth abscess, 5 day course of amoxicillin , and subsequent tooth extraction.

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
SDFatigue · · ✓
SDImpulse-control disorder · · ✓
SDInsomnia · · ✓
SDMigraine · · ✓
SDTooth abscess · · ✓
SDTooth extraction · · ✓
SDTooth infection · · ✓
SROFatigue · · ✓
SROMigraine · · ✓

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