263-85055-58211
2 vaccinations
9 coded responses
17 check-ins
8 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 658 / MO
- Registered
- 2022-02-16
- Relationship
- Child or adolescent in my care
- Guardian
- ZYV-12312-40196
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-01-17
Dose 1 — Pfizer-BioNTech
-
2022-02-16
Registered in v-safe
- 2022-02-16
-
2022-02-18
Dose 2 — Pfizer-BioNTech
- 2022-02-18
-
2022-02-19
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-02-20
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2022-02-21
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough — Feeling: Fair · Site: Pain · FeverFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-02-22
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-02-23
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-02-24
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-02-25
Survey response — day 7, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-03-04
-
2022-03-11
Survey response — day 21, dose 2, dependentMedDRA: Constipation — Feeling: GoodFree text: ConstipationMedDRA releases: 2024-11 · check-in free text available
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2022-03-18
Survey response — day 28, dose 2, dependentMedDRA: Constipation, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Constipation, fever of 102MedDRA releases: 2024-11 · check-in free text available
-
2022-03-18
Report sent to call center — day 28, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-21
- 2022-03-25
- 2022-04-01
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2022-05-20
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Cough, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
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2023-02-18
Survey response — 12 months, dose 2, dependentMedDRA: Cough, Influenza, Lethargy, Pyrexia — 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 visitMedDRA releases: 2024-11
-
2023-02-18
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 · 1 call case(s)
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2023-02-20
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-17 | Pfizer-BioNTech | No |
| 2 | 2022-02-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-18 | Unsuccessful | |
| 2023-02-18 | Successful 2023-02-20 |
Not applicable - Accidental Reporting |
Free text
Release 11 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Release 11 — day 7, dose 2, dependent
Systemic reaction (other): Cough
Release 11 — day 21, dose 2, dependent
Symptoms: Constipation
Release 11 — day 28, dose 2, dependent
Symptoms: Constipation, fever of 102
Release 11 — 3 months, dose 2, dependent
Symptoms: Cough, runny nose
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 | Constipation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release