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3PX-17175-36164

2 vaccinations 3 coded responses 8 check-ins 3 free-text entries 3 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
199 / DE
Registered
2022-01-11
Relationship
Child or adolescent in my care
Guardian
NWR-34965-36178
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-24
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-23
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-11
    Registered in v-safe
  4. 2022-01-11
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  5. 2022-01-13
    Survey response — day 21, dose 2, dependent
    MedDRA: Eye disorder, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: His left eye is looking to different location than his right eye. We never noted that before and we go to all his appointments. I noted two weeks ago. Could be the left eye muscle is not working to focus on the same object as his right eye. · Healthcare visit (other): The telehealth appointment with pediatrician will be tomorrow.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-13
    Report sent to call center — day 21, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  7. 2022-01-18
  8. 2022-01-18
  9. 2022-01-18
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  10. 2022-01-21
    Survey response — day 28, dose 2, dependent
    MedDRA: Medical counselling, Refraction disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: The only changing on his health is the left eye that is not focusing on the same object as the right eye. This happens some times a day and has a short duration. I contacted Oftalmologist he has an appointment scheduled. No other symptoms appeared. · Healthcare visit (other): Had virtual consultation with pediatrician. He is scheduled to an Oftalmologist in February 1st.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-01-21
    Report sent to call center — day 28, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  12. 2022-01-24
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  13. 2022-01-27
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2022-02-03
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2022-03-24
  16. 2022-06-23
  17. 2022-12-24
    Survey response — 12 months, dose 2, dependent
    MedDRA: Ear infection, Office visit, Parainfluenzae virus infection, Respiratory syncytial virus infection, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: He had Para Influenza and RSV. Right now he has sinus infection with ear infection. He is on antibiotic now. His pediatrician prescribed Amoxicillin and clavulanate potassium. · Healthcare visit (other): Urgent Appointment at his pediatrician
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-12-24
    Report sent to call center — 12 months, dose 2, dependent
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2022-12-27
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-11-24Pfizer-BioNTech No
22021-12-23Pfizer-BioNTech No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 10 — day 21, dose 2, dependent

2022-01-13

Symptoms: His left eye is looking to different location than his right eye. We never noted that before and we go to all his appointments. I noted two weeks ago. Could be the left eye muscle is not working to focus on the same object as his right eye.
Healthcare visit (other): The telehealth appointment with pediatrician will be tomorrow.

Release 11 — day 28, dose 2, dependent

2022-01-21

Symptoms: The only changing on his health is the left eye that is not focusing on the same object as the right eye. This happens some times a day and has a short duration. I contacted Oftalmologist he has an appointment scheduled. No other symptoms appeared. cut off by CDC
Healthcare visit (other): Had virtual consultation with pediatrician. He is scheduled to an Oftalmologist in February 1st.

Release 12 — 12 months, dose 2, dependent

2022-12-24

Symptoms: He had Para Influenza and RSV. Right now he has sinus infection with ear infection. He is on antibiotic now. His pediatrician prescribed Amoxicillin and clavulanate potassium.
Healthcare visit (other): Urgent Appointment at his pediatrician

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
HCVOMedical counselling · · ✓
HCVOOffice visit · · ✓
HCVOUnevaluable event · · ✓
SDEar infection · · ✓
SDEye disorder · · ✓
SDMedical counselling · · ✓
SDParainfluenzae virus infection · · ✓
SDRefraction disorder · · ✓
SDRespiratory syncytial virus infection · · ✓
SDSinusitis · · ✓

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