45K-31291-97723
3 vaccinations
6 coded responses
38 check-ins
6 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 061 / CT
- Registered
- 2021-12-20
- Relationship
- Child or adolescent in my care
- Guardian
- Q6B-32536-53200
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-12-20
Registered in v-safe
-
2021-12-20
Dose 1 — Pfizer-BioNTech
- 2021-12-20
-
2021-12-21
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-27
- 2022-01-05
-
2022-01-10
Dose 2 — Pfizer-BioNTech
-
2022-01-10
Survey response — day 0, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: Just coughingMedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
- 2022-01-12
-
2022-01-13
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: Just a little cough here and thereMedDRA releases: 2024-11 · check-in free text available
-
2022-01-14
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: He has a coughMedDRA releases: 2024-11 · check-in free text available
-
2022-01-15
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: Still had a coughMedDRA releases: 2024-11 · check-in free text available
- 2022-01-16
- 2022-01-17
- 2022-01-24
- 2022-02-01
- 2022-02-09
- 2022-02-14
- 2022-02-21
- 2022-04-11
- 2022-07-11
-
2022-08-10
Dose 3 — Pfizer-BioNTech
- 2022-08-10
- 2022-08-12
-
2022-08-13
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-08-14
-
2022-08-15
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Unevaluable event — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: On his neck and on his chestMedDRA releases: 2024-11 · check-in free text available
-
2022-08-15
Report sent to call center — days 1–6 daily, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-16
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): On neck still and on chest and arms and legs · Healthcare visit (other): Going tom for a follow up at clinicMedDRA releases: 2024-11 · check-in free text available
-
2022-08-16
Report sent to call center — days 1–6 daily, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-16
-
2022-08-16
Call successfulDoes not wish to fill out VAERS report
-
2022-08-17
Health check-in — day 7, dose 3, dependentFeeling: Good · Site: Redness · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2022-08-17
Report sent to call center — day 7, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-22
- 2022-08-22
- 2022-08-22
- 2022-08-24
- 2022-08-31
- 2022-09-07
- 2022-09-14
- 2022-09-24
- 2022-11-09
- 2023-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-20 | Pfizer-BioNTech | No |
| 2 | 2022-01-10 | Pfizer-BioNTech | No |
| 3 | 2022-08-10 | Pfizer-BioNTech | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 10 — day 0, dose 2, dependent
Systemic reaction (other): Just coughing
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Just a little cough here and there
Systemic reaction (other): He has a cough
Systemic reaction (other): Still had a cough
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): On his neck and on his chest
Systemic reaction (other): On neck still and on chest and arms and legs
Healthcare visit (other): Going tom for a follow up at clinic
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 | Unevaluable event | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release