4K9-63178-94069
4 vaccinations
3 coded responses
23 check-ins
1 free-text entry
2 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 474 / IN
- Registered
- 2022-01-15
- Relationship
- Child or adolescent in my care
- Guardian
- 6V9-33719-78636
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-01-13
Dose 1 — Pfizer-BioNTech
-
2022-01-15
Registered in v-safe
- 2022-01-15
- 2022-01-16
- 2022-01-18
- 2022-01-19
- 2022-01-20
- 2022-01-27
- 2022-02-03
-
2022-02-10
Dose 2 — Pfizer-BioNTech
-
2022-02-10
Health check-in — day 0, dose 2, dependentFeeling: Good · Site: Pain · Abdominal painAdult check-in
-
2022-02-11
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Headache, Nausea, Abdominal painAdult check-in
-
2022-02-12
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2022-02-14
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Headache, Abdominal painAdult check-in
-
2022-02-15
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-02-16
- 2022-02-17
- 2022-02-24
- 2022-03-03
-
2022-03-10
Survey response — day 28, dose 2, dependentMedDRA: Rash — Feeling: FairFree text: Rash around eyeMedDRA releases: 2024-11 · check-in free text available
- 2022-03-19
- 2022-03-26
- 2022-05-12
-
2022-08-08
Dose 3 — Pfizer-BioNTech
- 2022-08-11
-
2023-01-12
Dose 4 — Pfizer-BioNTech
-
2023-02-10
Survey response — 12 months, dose 2, dependentMedDRA: Gastroenteritis viral, Illness, Influenza — 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 visitMedDRA releases: 2024-11
-
2023-02-10
Report sent to call center — 12 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)
- 2023-02-13
-
2023-02-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-04-13
Survey response — 3 months, dose 4, dependentMedDRA: Tremor — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-13
Report sent to call center — 3 months, dose 4, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-13 | Pfizer-BioNTech | No |
| 2 | 2022-02-10 | Pfizer-BioNTech | No |
| 3 | 2022-08-08 | Pfizer-BioNTech | No |
| 4 | 2023-01-12 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 11 — day 28, dose 2, dependent
Symptoms: Rash around 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 | Gastroenteritis viral | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release