3KL-19856-98879
3 vaccinations
4 coded responses
30 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 212 / MD
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- C2U-13475-73169
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Pfizer-BioNTech
-
2022-06-23
Registered in v-safe
- 2022-06-23
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-06
-
2022-07-13
Survey response — day 21, dose 1, dependentMedDRA: Folliculitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Foliculitis diagnosisMedDRA releases: 2024-11 · check-in free text available
-
2022-07-13
Report sent to call center — day 21, dose 1, dependentBe unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-14
Dose 2 — Pfizer-BioNTech
- 2022-07-14
- 2022-07-14
- 2022-07-15
- 2022-07-16
- 2022-07-17
- 2022-07-19
-
2022-07-19
Call successfulParticipant prefers to complete VAERS report online
- 2022-07-20
- 2022-07-21
- 2022-07-28
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
-
2022-09-19
Dose 3 — Pfizer-BioNTech
-
2022-09-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal painAdult check-in
-
2022-09-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2022-09-24
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-09-25
- 2022-10-03
- 2022-10-10
-
2022-10-17
Survey response — day 28, dose 3, dependentMedDRA: Cough, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Runny nose, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-10-24
Survey response — day 35, dose 3, dependentMedDRA: Vomiting — Feeling: PoorFree text: VomitingMedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
-
2022-12-21
Survey response — 3 months, dose 3, dependentMedDRA: Cough, Oropharyngeal pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, cough, vomitingMedDRA releases: 2024-11 · check-in free text available
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Pfizer-BioNTech | No |
| 2 | 2022-07-14 | Pfizer-BioNTech | No |
| 3 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: Foliculitis diagnosis
Release 12 — day 28, dose 3, dependent
Symptoms: Runny nose, cough
Release 12 — day 35, dose 3, dependent
Symptoms: Vomiting
Release 12 — 3 months, dose 3, dependent
Symptoms: Sore throat, cough, vomiting
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 | Folliculitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release