ZWK-27484-23236
3 vaccinations
7 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 752 / TX
- Registered
- 2021-11-08
- Relationship
- Child or adolescent in my care
- Guardian
- PVB-91220-29064
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-06
Dose 1 — Pfizer-BioNTech
-
2021-11-08
Registered in v-safe
- 2021-11-08
- 2021-11-11
- 2021-11-12
- 2021-11-13
-
2021-11-20
Survey response — day 14, dose 1, dependentMedDRA: Diarrhoea, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Vomiting and diarrhea since 4 am today. Sounds like food poisoning since other kids in his class are sickMedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Dose 2 — Pfizer-BioNTech
-
2021-11-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-28
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Psychomotor hyperactivity — Feeling: Good · Site: PainFree text: Will be honest. After the first shot and now after this second one he's been hyperactive doing things he had never done. It's crazy. May he pure coincidence but I swear it's not like himMedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oropharyngeal pain, Self-medication — Feeling: Fair · Abdominal painFree text: Sore throat, mild. Resolved with ibuprofenMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-01
- 2021-12-02
-
2021-12-03
Survey response — day 7, dose 2, dependentMedDRA: Malaise, Nasal congestion, Rhinorrhoea — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to work or attend schoolFree text: Got sick with runny nose, nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-19
- 2022-02-25
- 2022-05-27
-
2022-06-06
Dose 3 — Pfizer-BioNTech
-
2022-06-20
Survey response — day 14, dose 3, dependentMedDRA: Fatigue, Injection site pain — Feeling: GoodFree text: He had fatigue and arm pain on site of injection x 1-2 days after booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-27
- 2022-07-04
- 2022-07-11
- 2022-07-18
- 2022-09-05
-
2022-12-05
Survey response — 6 months, dose 3, dependentMedDRA: Cough, Irritability, Rhinorrhoea — Feeling: GoodFree text: Runny nose, cough, irritabilityMedDRA releases: 2024-11 · check-in free text available
-
2023-06-06
Survey response — 12 months, dose 3, dependentMedDRA: Nasopharyngitis, Office visit — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-06 | Pfizer-BioNTech | No |
| 2 | 2021-11-26 | Pfizer-BioNTech | No |
| 3 | 2022-06-06 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Vomiting and diarrhea since 4 am today. Sounds like food poisoning since other kids in his class are sick
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Will be honest. After the first shot and now after this second one he's been hyperactive doing things he had never done. It's crazy. May he pure coincidence but I swear it's not like him
Systemic reaction (other): Sore throat, mild. Resolved with ibuprofen
Release 10 — day 7, dose 2, dependent
Systemic reaction (other): Got sick with runny nose, nasal congestion
Release 12 — day 14, dose 3, dependent
Symptoms: He had fatigue and arm pain on site of injection x 1-2 days after booster.
Release 12 — 6 months, dose 3, dependent
Symptoms: Runny nose, cough, irritability
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 | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Psychomotor hyperactivity | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release