3GD-19821-37965
3 vaccinations
5 coded responses
22 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 949 / CA
- Registered
- 2021-08-24
- Relationship
- Child or adolescent in my care
- Guardian
- HT6-27693-07519
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-24
Registered in v-safe
-
2021-08-28
Dose 1 — Pfizer-BioNTech
-
2021-08-28
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-08-29
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Luteal phase deficiency — Feeling: Good · Headache, Fatigue or tirednessFree text: Close to period. So I'm usually already in a low leutal phaseMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-30
-
2021-09-02
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Muscle or body achesAdult check-in
- 2021-09-04
- 2021-09-11
-
2021-09-18
Dose 2 — Pfizer-BioNTech
- 2021-09-19
- 2021-09-23
- 2021-09-27
-
2021-10-04
Survey response — day 14, dose 2, dependentMedDRA: Abdominal pain upper — Feeling: Good · Be unable to work or attend schoolFree text: Stomach aches 24 hrs no feverMedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Survey response — day 21, dose 2, dependentMedDRA: Cough, Nasopharyngitis — Feeling: GoodFree text: Cold is going around slight dry coughingMedDRA releases: 2024-11 · check-in free text available
- 2021-10-23
- 2021-10-30
-
2021-12-18
Survey response — 3 months, dose 2, dependentMedDRA: Nasopharyngitis — Feeling: PoorFree text: ColdMedDRA releases: 2024-11 · check-in free text available
-
2022-03-01
Dose 3 — Pfizer-BioNTech
-
2022-03-02
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2022-03-04
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-03-10
- 2022-03-16
- 2022-03-29
-
2022-04-05
Survey response — day 35, dose 3, dependentMedDRA: Diarrhoea, Food intolerance, Influenza like illness, Migraine, Mobility decreased, Pyrexia, Tenderness, Unevaluable event, Vomiting — Feeling: Fair · 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, Emergency room or emergency department visitFree text: Symptoms: Was sick with flu like symptoms was down for a full week is still regaining normal regimen with food. Slight fever the first day constant throwing up for a full week. Food sensitivity, had one migraine and sensitivity. Minor diarrhea. 90% healthy · Healthcare visit (other): ER was unable to see him they were beyond bookedMedDRA releases: 2024-11 · check-in free text available
-
2022-04-05
Report sent to call center — day 35, dose 3, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-12
-
2022-04-12
Call successfulParticipant prefers to complete VAERS report online
- 2022-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-28 | Pfizer-BioNTech | No |
| 2 | 2021-09-18 | Pfizer-BioNTech | No |
| 3 | 2022-03-01 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Close to period. So I'm usually already in a low leutal phase
Release 10 — day 14, dose 2, dependent
Symptoms: Stomach aches 24 hrs no fever
Release 10 — day 21, dose 2, dependent
Symptoms: Cold is going around slight dry coughing
Release 10 — 3 months, dose 2, dependent
Symptoms: Cold
Release 11 — day 35, dose 3, dependent
Symptoms: Was sick with flu like symptoms was down for a full week is still regaining normal regimen with food. Slight fever the first day constant throwing up for a full week. Food sensitivity, had one migraine and sensitivity. Minor diarrhea. 90% healthy
Healthcare visit (other): ER was unable to see him they were beyond booked
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Food intolerance | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Luteal phase deficiency | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release