4G8-61681-46040
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 782 / TX
- Registered
- 2021-11-22
- Relationship
- Child or adolescent in my care
- Guardian
- C9F-13859-58813
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-15
Dose 1 — Pfizer-BioNTech
-
2021-11-22
Registered in v-safe
-
2021-11-22
Survey response — day 7, dose 1, dependentMedDRA: Abdominal pain, Chills, Pyrexia, Vomiting — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolFree text: Yes vomiting, abdominal pain, fever , chills 48 hours after vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
-
2021-12-06
Dose 2 — Pfizer-BioNTech
- 2021-12-29
- 2022-01-03
- 2022-01-10
- 2022-01-19
-
2022-03-07
Survey response — 3 months, dose 2, dependentMedDRA: Abdominal pain upper, Diarrhoea, 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: Vomiting, diarrhea, stomachacheMedDRA releases: 2024-11 · check-in free text available
-
2022-03-07
Report sent to call center — 3 months, 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)
-
2022-03-11
Call successfulCompleted over the phone
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-15 | Pfizer-BioNTech | No |
| 2 | 2021-12-06 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Yes vomiting, abdominal pain, fever , chills 48 hours after vaccine
Release 11 — 3 months, dose 2, dependent
Symptoms: Vomiting, diarrhea, stomachache
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 upper | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release