ZGB-19827-95309

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 0 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 456 / OH
Registered: 2021-11-08

Relationship: Child or adolescent in my care
Guardian: D5K-20429-85320
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-11-08
Registered in v-safe
2021-11-08
Dose 1 — Pfizer-BioNTech
2021-11-08
Health check-in — day 0, dose 1, dependent
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Shortness of breathe

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Poor · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Chills, Headache, Diarrhea, Abdominal pain

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 7, dose 1, dependent
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-11-23
Survey response — day 14, dose 1, dependent
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just very fatigued. He continues to have some slight shortness of breath after having the 1st dose.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Dose 2 — Pfizer-BioNTech
2021-11-29
Health check-in — day 0, dose 2, dependent
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-02
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Oropharyngeal pain — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Diarrhea

Free text: Sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Chills, Headache, Muscle or body aches

Free text: (b)(6) is experiencing cold symptoms today. He is negative for Covid 19. He has had two negative covid 19 swabs.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion, SARS-CoV-2 test negative — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Sore throat, sinus drainage. We tested for covid and was negative today.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-13
Survey response — day 14, dose 2, dependent
MedDRA: Abdominal pain upper, Diarrhoea, Headache — Feeling: Good

Free text: Diarrhea, headaches and stomach pain have been a on going issues since becoming vaccinated. We are setting up an appointment with his pediatrician to rule out if it's from the vaccine or if it's other things going on that may be causing these.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-02-28
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-05-30
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-08	Pfizer-BioNTech	No
2	2021-11-29	Pfizer-BioNTech	No

Free text

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

2021-11-09

Systemic reaction (other): Shortness of breathe

Release 10 — day 14, dose 1, dependent

2021-11-23

Symptoms: Just very fatigued. He continues to have some slight shortness of breath after having the 1st dose.

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

2021-12-02

Systemic reaction (other): Sore throat

2021-12-03

Systemic reaction (other): Sore throat.

2021-12-04

Systemic reaction (other): (b)(6) is experiencing cold symptoms today. He is negative for Covid 19. He has had two negative covid 19 swabs.

redacted (b)(6)

2021-12-05

Systemic reaction (other): Sore throat, sinus drainage. We tested for covid and was negative today.

Release 10 — day 14, dose 2, dependent

2021-12-13

Symptoms: Diarrhea, headaches and stomach pain have been a on going issues since becoming vaccinated. We are setting up an appointment with his pediatrician to rule out if it's from the vaccine or if it's other things going on that may be causing these.

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	Abdominal pain upper	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓

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