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3NJ-62449-88426

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 2 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
300 / GA
Registered
2022-07-06
Relationship
Child or adolescent in my care
Guardian
UR4-14911-26243
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-06
    Registered in v-safe
  2. 2022-07-06
    Dose 1 — Pfizer-BioNTech
  3. 2022-07-07
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  4. 2022-07-08
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-07-09
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  6. 2022-07-10
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-07-11
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-07-12
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-07-13
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-07-20
    Survey response — day 14, dose 1, under 3
    MedDRA: Body temperature increased, Cough, Fatigue, Irritability — Feeling: Fair · Be unable to work or attend school
    Free text: Low fever (99.8) started 07/19/22, cough, fatigue, mild irritability
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-07-27
    Survey response — day 21, dose 1, under 3
    MedDRA: Cough, Discomfort, Nasal congestion, Pyrexia, Rhinorrhoea, Self-medication — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Fever, cough, runny nose 7/19/22 through 7/25/22. Fever and nasal congestion resolved 7/25/22, but residual post viral cough remains. Treated with albuterol nebulizer q4hours on 7/21, 7/22, 7/23. Also treated with ibuprofen for discomfort.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-07-27
    Report sent to call center — day 21, dose 1, under 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  13. 2022-07-28
  14. 2022-08-05
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-09-20
    Dose 2 — Pfizer-BioNTech
  16. 2022-09-20
    Survey response — day 0, dose 2, under 3
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: (b)(6) is a Type 1 Diabetic, if that is important to your data
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-09-21
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Blood glucose increased — Feeling: Good · Irritability/crying
    Free text: (b)(6) has high blood sugar last night - he was 423mg/dL at 11pm which was abnormal for him
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-09-22
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2022-09-23
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2022-09-26
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: (b)(6) has a runny nose today
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-09-27
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  22. 2022-10-04
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2022-10-11
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2022-10-18
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2022-10-25
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2022-11-01
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  27. 2022-12-20
    Survey response — 3 months, dose 2, under 3
    MedDRA: Asthma, Dyspnoea, Hospitalisation, Respiratory syncytial virus infection — 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 · Emergency room or emergency department visit, Hospitalization
    Free text: (b)(6) was diagnosed with asthma on 11/15/22 after two hospitalizations 11/08-11/11 and 11/13-15 for RSV and increased work of breathing.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-12-20
    Report sent to call center — 3 months, dose 2, under 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  29. 2022-12-21
  30. 2022-12-21
  31. 2023-03-21
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

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

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-20

Symptoms: Low fever (99.8) started 07/19/22, cough, fatigue, mild irritability

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-27

Symptoms: Fever, cough, runny nose 7/19/22 through 7/25/22. Fever and nasal congestion resolved 7/25/22, but residual post viral cough remains. Treated with albuterol nebulizer q4hours on 7/21, 7/22, 7/23. Also treated with ibuprofen for discomfort.

Release 12 (Under 3) — day 0, dose 2, under 3

2022-09-20

Systemic reaction (other): (b)(6) is a Type 1 Diabetic, if that is important to your data
redacted (b)(6)

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

2022-09-21

Systemic reaction (other): (b)(6) has high blood sugar last night - he was 423mg/dL at 11pm which was abnormal for him
redacted (b)(6)

2022-09-26

Systemic reaction (other): (b)(6) has a runny nose today
redacted (b)(6)

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-12-20

Symptoms: (b)(6) was diagnosed with asthma on 11/15/22 after two hospitalizations 11/08-11/11 and 11/13-15 for RSV and increased work of breathing.
redacted (b)(6)

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
SDAsthma · · ✓
SDBody temperature increased · · ✓
SDCough · · ✓
SDDiscomfort · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDHospitalisation · · ✓
SDIrritability · · ✓
SDNasal congestion · · ✓
SDPyrexia · · ✓
SDRespiratory syncytial virus infection · · ✓
SDRhinorrhoea · · ✓
SDSelf-medication · · ✓
SROBlood glucose increased · · ✓
SROPre-existing disease · · ✓
SRORhinorrhoea · · ✓

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