42Z-14910-81059
2 vaccinations
11 coded responses
24 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 284 / NC
- Registered
- 2022-01-09
- Relationship
- Child or adolescent in my care
- Guardian
- 5EU-31105-90696
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-01-08
Dose 1 — Pfizer-BioNTech
-
2022-01-09
Registered in v-safe
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2022-01-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Fever · Chills, Abdominal painAdult check-in
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2022-01-10
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Decreased appetite, Erythema, Feeling abnormal, Malaise, Skin warm — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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: Malaise, no interest in eating, skin all over is hot and red possibly from fever, zoning outMedDRA releases: 2024-11 · check-in free text available
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2022-01-10
Report sent to call center — days 1–6 daily, dose 1, 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)
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2022-01-11
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Chills, Erythema, Skin warm — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolFree text: Shivering, all of her skin was hot to the touch and had a reddish/purple tintMedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
-
2022-01-11
Call successfulCompleted over the phone
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2022-01-12
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Conjunctivitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: New onset Conjunctivitis (pink eye)MedDRA releases: 2024-11 · check-in free text available
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2022-01-12
Report sent to call center — days 1–6 daily, dose 1, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-01-13
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Asthma, Cough, Pre-existing disease — Feeling: GoodFree text: Asthma flare/coughMedDRA releases: 2024-11 · check-in free text available
- 2022-01-13
-
2022-01-13
Call successfulCompleted over the phone
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2022-01-14
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Asthma, Conjunctivitis, Pre-existing disease — Feeling: Good · Be unable to work or attend schoolFree text: Still treating her asthma flare up and pink eye that's started 11/11 in the pmMedDRA releases: 2024-11 · check-in free text available
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2022-01-15
Survey response — day 7, dose 1, dependentMedDRA: Asthma, Pre-existing disease — Feeling: GoodFree text: Still treating her asthma flare post vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-01-22
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2022-01-29
Survey response — day 21, dose 1, dependentMedDRA: Asthma, Pre-existing disease — Feeling: GoodFree text: Has had continued asthma issues that was finally resolved with 5 days of oral steroids and steroid inhalers 4 times a day. She will no be seeing her pulmonologist because of the severe flare up after getting the vaccine.MedDRA releases: 2024-11 · check-in free text available
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2022-02-05
Survey response — day 28, dose 1, dependentMedDRA: Cough, Sinus congestion — Feeling: FairFree text: Sinus congestion and coughMedDRA releases: 2024-11 · check-in free text available
- 2022-02-12
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2022-02-19
Dose 2 — Pfizer-BioNTech
- 2022-02-19
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2022-02-20
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Abdominal painFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-02-21
- 2022-02-22
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2022-02-23
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-02-23
Report sent to call center — days 1–6 daily, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-24
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2022-02-24
Call successfulDoes not wish to fill out VAERS report
- 2022-02-25
- 2022-02-26
- 2022-03-05
- 2022-03-12
- 2022-03-19
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2022-03-26
Survey response — day 35, dose 2, dependentMedDRA: Asthma, Croup infectious, Parainfluenzae virus infection, Pre-existing disease — Feeling: Good · Be unable to work or attend schoolFree text: Croup and asthma attack , positive for parainfluenzaMedDRA releases: 2024-11 · check-in free text available
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-08 | Pfizer-BioNTech | No |
| 2 | 2022-02-19 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Malaise, no interest in eating, skin all over is hot and red possibly from fever, zoning out
Systemic reaction (other): Shivering, all of her skin was hot to the touch and had a reddish/purple tint
Systemic reaction (other): New onset Conjunctivitis (pink eye)
Systemic reaction (other): Asthma flare/cough
Systemic reaction (other): Still treating her asthma flare up and pink eye that's started 11/11 in the pm
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Still treating her asthma flare post vaccine
Release 11 — day 21, dose 1, dependent
Symptoms: Has had continued asthma issues that was finally resolved with 5 days of oral steroids and steroid inhalers 4 times a day. She will no be seeing her pulmonologist because of the severe flare up after getting the vaccine.
Release 11 — day 28, dose 1, dependent
Symptoms: Sinus congestion and cough
Release 11 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 11 — day 35, dose 2, dependent
Symptoms: Croup and asthma attack , positive for parainfluenza
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 | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Parainfluenzae virus infection | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Asthma | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Conjunctivitis | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release