4H9-14948-42649
2 vaccinations
4 coded responses
22 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 863 / AZ
- Registered
- 2022-07-21
- Relationship
- Child or adolescent in my care
- Guardian
- 75J-54389-39011
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-21
Registered in v-safe
-
2022-07-21
Dose 1 — Pfizer-BioNTech
-
2022-07-21
Health check-in — day 0, dose 1, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-07-22
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-31
- 2022-08-04
-
2022-08-11
Dose 2 — Pfizer-BioNTech
-
2022-08-12
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
- 2022-08-13
- 2022-08-14
- 2022-08-15
-
2022-08-16
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
- 2022-08-17
- 2022-08-18
- 2022-08-25
-
2022-09-01
Survey response — day 21, dose 2, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Congestion runny nose and wet coughMedDRA releases: 2024-11 · check-in free text available
- 2022-09-17
-
2022-09-22
Survey response — day 42, dose 2, dependentMedDRA: Ear infection, Pyrexia — 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 visitFree text: Fever. Ear infection.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Report sent to call center — day 42, 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)
-
2022-09-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-10
Survey response — 3 months, dose 2, dependentMedDRA: Conjunctivitis, Ear infection — Feeling: Fair · 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: Ear infection, possible RSV, pink eyeMedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
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)
- 2022-11-11
-
2023-02-13
Survey response — 6 months, dose 2, dependentMedDRA: Gastroenteritis viral, Malaise, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-21 | Pfizer-BioNTech | No |
| 2 | 2022-08-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-22 | Successful 2022-09-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-11-10 | Unsuccessful |
Free text
Release 12 — day 21, dose 2, dependent
Symptoms: Congestion runny nose and wet cough
Release 12 — day 42, dose 2, dependent
Symptoms: Fever. Ear infection.
Release 12 — 3 months, dose 2, dependent
Symptoms: Ear infection, possible RSV, pink eye
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 | Conjunctivitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release