2UX-25022-58443

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 05-11
ZIP prefix: 490 / MI
Registered: 2021-11-14

Relationship: Child or adolescent in my care
Guardian: L5C-27243-71918
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-11-14
Registered in v-safe
2021-11-14
Dose 1 — Pfizer-BioNTech
2021-11-14
Health check-in — day 0, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-15
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Site: Pain

Free text: Snotty nose and sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Site: Pain

Free text: Snotty nose and sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Chills, Medical counselling, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Fever · Chills · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): She has a snotty nose again and has the chills. I did a home COVID swab and it is positive. I will take her for a PCR test tomorrow. · Healthcare visit (other): Telehealth to discuss positive home COVID swab

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — days 1–6 daily, dose 1, dependent
Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-18
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test false positive, Telemedicine — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Snotty nose, tested positive for COVID-19 · Healthcare visit (other): Outpatient COVID test, virtual family doc appointment. You guys are supposed to call me back tomorrow at noon so I can report the results.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — days 1–6 daily, dose 1, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-18
Call 1 — Requested Callback
2021-11-19
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Unevaluable event — Feeling: Fair · Headache · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: She has COVID

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Callback requested for
12:15PM ET
2021-11-19
Call successful
Participant prefers to complete VAERS report online
2021-11-20
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: She has COVID

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — day 7, dose 1, dependent
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: She has COVID

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 28, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-18
Dose 2 — Pfizer-BioNTech
2021-12-19
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Abdominal pain

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-01-01
Survey response — day 14, dose 2, dependent
MedDRA: Rhinorrhoea — Feeling: Good

Free text: A daily snotty nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-19
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-06-20
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-14	Pfizer-BioNTech	No
2	2021-12-18	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

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

2021-11-15

Systemic reaction (other): Snotty nose and sneezing

2021-11-16

Systemic reaction (other): Snotty nose and sneezing

2021-11-17

Systemic reaction (other): She has a snotty nose again and has the chills. I did a home COVID swab and it is positive. I will take her for a PCR test tomorrow.

Healthcare visit (other): Telehealth to discuss positive home COVID swab

2021-11-18

Systemic reaction (other): Snotty nose, tested positive for COVID-19

Healthcare visit (other): Outpatient COVID test, virtual family doc appointment. You guys are supposed to call me back tomorrow at noon so I can report the results.

2021-11-19

Systemic reaction (other): She has COVID

2021-11-20

Systemic reaction (other): She has COVID

Release 10 — day 7, dose 1, dependent

2021-11-23

Systemic reaction (other): She has COVID

Release 10 — day 14, dose 2, dependent

2022-01-01

Symptoms: A daily snotty 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
HCVO	Medical counselling	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
HCVO	SARS-CoV-2 test positive	·	·	✓
HCVO	Telemedicine	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Chills	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	SARS-CoV-2 test false positive	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Unevaluable event	·	·	✓

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