ZFL-14979-46358
3 vaccinations
7 coded responses
37 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 475 / IN
- Registered
- 2021-11-05
- Relationship
- Child or adolescent in my care
- Guardian
- ZQK-26726-74786
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-05
Registered in v-safe
-
2021-11-05
Dose 1 — Pfizer-BioNTech
- 2021-11-05
-
2021-11-06
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Swelling · NoneAdult check-in
- 2021-11-07
-
2021-11-08
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: PainFree text: Stiffness in arm of injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
- 2021-11-21
- 2021-11-26
- 2021-12-03
-
2021-12-13
Survey response — day 35, dose 1, dependentMedDRA: Pharyngitis streptococcal — Feeling: Good · 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: Had strep throat, but thatvus pretty nornal for gim this time of year.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-13
Report sent to call center — day 35, dose 1, 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)
-
2021-12-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-19
-
2021-12-21
Dose 2 — Pfizer-BioNTech
-
2021-12-23
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough, Nasal congestion — Feeling: Good · Site: ItchingFree text: Stuffy nose, cough in the morningMedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-12-25
- 2021-12-26
- 2021-12-28
- 2022-01-06
- 2022-01-11
- 2022-01-18
- 2022-01-27
- 2022-02-01
- 2022-03-23
-
2022-06-21
Dose 3 — Pfizer-BioNTech
- 2022-06-21
-
2022-06-22
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-06-23
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Musculoskeletal stiffness, Rhinorrhoea — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Runny nose, stiff arm that was injectedMedDRA releases: 2024-11 · check-in free text available
-
2022-06-24
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Swollen lymph node in armpit of arm of injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-06-25
-
2022-06-26
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-06-27
- 2022-06-30
- 2022-07-05
- 2022-07-13
- 2022-07-19
-
2022-07-26
Survey response — day 35, dose 3, dependentMedDRA: Cough, Pre-existing disease, Rhinorrhoea — Feeling: FairFree text: Cough, runny nose, but I am almost 100% sure it is due to his allergies right nowMedDRA releases: 2024-11 · check-in free text available
- 2022-08-02
- 2022-09-22
- 2022-12-20
- 2023-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | No |
| 2 | 2021-12-21 | Pfizer-BioNTech | No |
| 3 | 2022-06-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-13 | Successful 2021-12-14 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Stiffness in arm of injection
Release 10 — day 35, dose 1, dependent
Symptoms: Had strep throat, but thatvus pretty nornal for gim this time of year.
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Stuffy nose, cough in the morning
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Runny nose, stiff arm that was injected
Systemic reaction (other): Swollen lymph node in armpit of arm of injection site
Systemic reaction (other): Runny nose
Release 12 — day 35, dose 3, dependent
Symptoms: Cough, runny nose, but I am almost 100% sure it is due to his allergies right now
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 | Cough | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release