4F4-27989-83752
3 vaccinations
3 coded responses
8 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 782 / TX
- Registered
- 2022-04-28
- Relationship
- Child or adolescent in my care
- Guardian
- 5BQ-12963-68185
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-12-01
Dose 2 — Pfizer-BioNTech
-
2022-04-28
Registered in v-safe
- 2022-06-01
-
2022-10-11
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-15
- 2022-10-19
-
2022-10-26
Survey response — day 14, dose 3, dependentMedDRA: Abdominal pain upper, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomachache, headache, fatigue. Lasted about 36hrs.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
-
2022-11-08
Survey response — day 28, dose 3, dependentMedDRA: Influenza, Office visit — Feeling: Fair · 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: Symptoms: Diagnosed with Flu. · Healthcare visit (other): PediatricianMedDRA releases: 2024-11 · check-in free text available
-
2022-11-08
Report sent to call center — day 28, dose 3, dependentBe unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-15
-
2022-11-23
Survey response — day 42, dose 3, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Slight cough and congestion starting as of yesterday evening. Worsening as of today. We've not gone to get tested yet.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
| 3 | 2022-10-11 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 12 — day 14, dose 3, dependent
Symptoms: Stomachache, headache, fatigue. Lasted about 36hrs.
Release 12 — day 28, dose 3, dependent
Release 12 — day 42, dose 3, dependent
Symptoms: Slight cough and congestion starting as of yesterday evening. Worsening as of today. We've not gone to get tested yet.
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 | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release