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
-
2021-11-24
Dose 1 — Pfizer-BioNTech
-
2021-12-23
Dose 2 — Pfizer-BioNTech
-
2022-01-11
Registered in v-safe
- 2022-01-11
-
2022-01-13
Survey response — day 21, dose 2, dependentMedDRA: Eye disorder, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree 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
-
2022-01-13
Report sent to call center — day 21, dose 2, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-18
- 2022-01-18
-
2022-01-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-21
Survey response — day 28, dose 2, dependentMedDRA: Medical counselling, Refraction disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree 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
-
2022-01-21
Report sent to call center — day 28, dose 2, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-27
- 2022-02-03
- 2022-03-24
- 2022-06-23
-
2022-12-24
Survey response — 12 months, dose 2, dependentMedDRA: Ear infection, Office visit, Parainfluenzae virus infection, Respiratory syncytial virus infection, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 pediatricianMedDRA releases: 2024-11 · check-in free text available
-
2022-12-24
Report sent to call center — 12 months, dose 2, dependentGet care from a doctor or other healthcare professional1 call case(s)
-
2022-12-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-24 | Pfizer-BioNTech | No |
| 2 | 2021-12-23 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 10 — day 21, dose 2, dependent
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Eye disorder | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Parainfluenzae virus infection | · | · | ✓ |
| SD | Refraction disorder | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release