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2KP-32746-95849

3 vaccinations 10 coded responses 33 check-ins 10 free-text entries 3 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
856 / AZ
Registered
2022-06-27
Relationship
Child or adolescent in my care
Guardian
38Q-40162-15860
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-27
    Registered in v-safe
  2. 2022-06-29
    Dose 1 — Pfizer-BioNTech
  3. 2022-06-29
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · Diarrhea
    Under 3 check-in
  4. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Sleepiness, Loss of appetite, Diarrhea
    Under 3 check-in
  5. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Fair · Sleepiness, Loss of appetite, Diarrhea
    Under 3 check-in
  6. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-05
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-06
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-13
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-07-20
    Dose 2 — Pfizer-BioNTech
  11. 2022-07-20
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-07-21
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Rash — Feeling: Good · Sleepiness, Rash, not including the immediate area around the injection site
    Free text: Rash on heel of left foot within 2 hours of receiving vaccine in left thigh
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-07-22
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Rash — Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection site
    Free text: Rash on heel of left foot (on the sole of the foot); received vaccine in left thigh
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-07-23
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Erythema — Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection site
    Free text: Still have red spots on left heel
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2022-07-26
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Diarrhea
    Under 3 check-in
  18. 2022-07-27
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-08-03
    Survey response — day 14, dose 2, under 3
    MedDRA: Cough, Diarrhoea, Fatigue, Pyrexia, Rhinorrhoea, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Be unable to work or attend school
    Free text: Fever of 103, runny nose, sneezing, cough, post nasal drip, diarrhea, fatigue
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-08-10
    Survey response — day 21, dose 2, under 3
    MedDRA: Diarrhoea, Malaise, SARS-CoV-2 test positive — Feeling: Good
    Free text: Still has diarrhea from positive covid test with symptoms on July 30th. His appetite and diet have not changed since he became sick. Hopefully the once a day diarrhea will resolve by the end of the week.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-08-19
    Survey response — day 28, dose 2, under 3
    MedDRA: Cough, Dyspnoea, Nasal congestion, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities
    Free text: 100.4 fever, runny nose, stuffy nose at night and difficulty breathing out of nose, coughing and sneezing (symptoms appeared after his 1 year vaccines of Chicken Pox, MMR, and PCV13)
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-08-26
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-08-31
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-09-14
    Dose 3 — Pfizer-BioNTech
  25. 2022-09-15
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Poor · Vomiting · Be unable to do your normal daily activities
    Under 3 check-in
  26. 2022-09-16
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  27. 2022-09-17
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · Fever · Sleepiness, Irritability/crying, Loss of appetite
    Under 3 check-in
  28. 2022-09-18
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  29. 2022-09-20
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  30. 2022-09-21
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  31. 2022-09-28
    Survey response — day 14, dose 3, under 3
    MedDRA: Productive cough, Secretion discharge, Sleep disorder — Feeling: Fair
    Free text: Woke up last night after 30 min of sleeping coughing up clear mucus.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-10-05
    Survey response — day 21, dose 3, under 3
    MedDRA: Ear infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Double eat infection diagnosed 9/30/2022
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-10-05
    Report sent to call center — day 21, dose 3, under 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  34. 2022-10-06
    Call successful
    Does not wish to fill out VAERS report
  35. 2022-10-07
  36. 2022-10-12
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  37. 2022-10-20
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  38. 2022-10-26
    Survey response — day 42, dose 3, under 3
    MedDRA: Diarrhoea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Vomitting and diarrhea since Sunday 10/23
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-10-26
    Report sent to call center — day 42, dose 3, under 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  40. 2022-10-27
  41. 2022-10-28
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  42. 2022-12-14
    Survey response — 3 months, dose 3, under 3
    MedDRA: Ear infection, Eye discharge — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Double ear infection and green discharge from both eyes.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-12-14
    Report sent to call center — 3 months, dose 3, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  44. 2022-12-15
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  45. 2023-03-15
    Health check-in — 6 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-29Pfizer-BioNTech No
22022-07-20Pfizer-BioNTech No
32022-09-14Pfizer-BioNTech No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-07-21

Systemic reaction (other): Rash on heel of left foot within 2 hours of receiving vaccine in left thigh

2022-07-22

Systemic reaction (other): Rash on heel of left foot (on the sole of the foot); received vaccine in left thigh

2022-07-23

Systemic reaction (other): Still have red spots on left heel

Release 12 (Under 3) — day 14, dose 2, under 3

2022-08-03

Symptoms: Fever of 103, runny nose, sneezing, cough, post nasal drip, diarrhea, fatigue

Release 12 (Under 3) — day 21, dose 2, under 3

2022-08-10

Symptoms: Still has diarrhea from positive covid test with symptoms on July 30th. His appetite and diet have not changed since he became sick. Hopefully the once a day diarrhea will resolve by the end of the week.

Release 12 (Under 3) — day 28, dose 2, under 3

2022-08-19

Symptoms: 100.4 fever, runny nose, stuffy nose at night and difficulty breathing out of nose, coughing and sneezing (symptoms appeared after his 1 year vaccines of Chicken Pox, MMR, and PCV13)

Release 12 (Under 3) — day 14, dose 3, under 3

2022-09-28

Symptoms: Woke up last night after 30 min of sleeping coughing up clear mucus.

Release 12 (Under 3) — day 21, dose 3, under 3

2022-10-05

Symptoms: Double eat infection diagnosed 9/30/2022

Release 12 (Under 3) — day 42, dose 3, under 3

2022-10-26

Symptoms: Vomitting and diarrhea since Sunday 10/23

Release 12 (Under 3) — 3 months, dose 3, under 3

2022-12-14

Symptoms: Double ear infection and green discharge from both eyes.

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
SDCough · · ✓
SDDiarrhoea · · ✓
SDDyspnoea · · ✓
SDEar infection · · ✓
SDEye discharge · · ✓
SDFatigue · · ✓
SDMalaise · · ✓
SDNasal congestion · · ✓
SDProductive cough · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test positive · · ✓
SDSecretion discharge · · ✓
SDSleep disorder · · ✓
SDSneezing · · ✓
SDUpper-airway cough syndrome · · ✓
SDVomiting · · ✓
SROErythema · · ✓
SRORash · · ✓

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

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