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3ZM-11604-11789

2 vaccinations 1 coded response 3 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
05-11
ZIP prefix
273 / NC
Registered
2022-01-28
Relationship
Child or adolescent in my care
Guardian
J5Q-27171-28851
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-27
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-28
    Registered in v-safe
  4. 2022-02-28
  5. 2022-05-28
  6. 2022-11-27
    Survey response — 12 months, dose 2, dependent
    MedDRA: Pyrexia, Respiratory symptom — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Four days of high fever and respiratory symptoms
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-11-27
    Report sent to call center — 12 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  8. 2022-11-28
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-11-05Pfizer-BioNTech No
22021-11-27Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — 12 months, dose 2, dependent

2022-11-27

Symptoms: Four days of high fever and respiratory symptoms

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
SDPyrexia · · ✓
SDRespiratory symptom · · ✓

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