3WZ-13594-01147
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 846 / UT
- Registered
- 2022-02-11
- Relationship
- Child or adolescent in my care
- Guardian
- P9F-11427-61334
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2022-01-14
Dose 1 — Pfizer-BioNTech
-
2022-02-11
Registered in v-safe
-
2022-02-11
Dose 2 — Pfizer-BioNTech
-
2022-02-12
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-02-13
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-02-15
-
2022-02-16
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2022-02-17
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tirednessFree text: Cough, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-02-18
Survey response — day 7, dose 2, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: cough, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-02-25
Survey response — day 14, dose 2, dependentMedDRA: Abdominal pain, Cough, Fatigue — Feeling: FairFree text: Fatigue, cough, belly achesMedDRA releases: 2024-11 · check-in free text available
- 2022-03-04
-
2022-03-11
Survey response — day 28, dose 2, dependentMedDRA: Cough, Ear infection, Pneumonia, Respiratory tract congestion, Vomiting — Feeling: Poor · Be unable to work or attend school, 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: Cough, congestion, vomiting, ear infection, pneumoniaMedDRA releases: 2024-11 · check-in free text available
-
2022-03-11
Report sent to call center — day 28, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-15
- 2022-03-18
- 2022-03-25
- 2022-05-13
-
2022-08-12
Survey response — 6 months, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2023-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-14 | Pfizer-BioNTech | No |
| 2 | 2022-02-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Cough, congestion
Release 11 — day 7, dose 2, dependent
Systemic reaction (other): cough, congestion
Release 11 — day 14, dose 2, dependent
Symptoms: Fatigue, cough, belly aches
Release 11 — day 28, dose 2, dependent
Symptoms: Cough, congestion, vomiting, ear infection, pneumonia
Release 12 — 6 months, dose 2, dependent
Symptoms: Cough
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 | Abdominal pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release