4RZ-25458-47235
3 vaccinations
2 coded responses
32 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 585 / ND
- Registered
- 2021-11-09
- Relationship
- Child or adolescent in my care
- Guardian
- 7PY-19774-45608
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-09
Registered in v-safe
-
2021-11-09
Dose 1 — Pfizer-BioNTech
- 2021-11-09
-
2021-11-10
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-11
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-23
- 2021-12-01
- 2021-12-07
-
2021-12-14
Dose 2 — Pfizer-BioNTech
- 2021-12-21
- 2021-12-29
- 2022-01-04
- 2022-01-11
-
2022-01-18
Survey response — day 35, dose 2, dependentMedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: He got influenza A · Healthcare visit (other): InfluenzaMedDRA releases: 2024-11 · check-in free text available
-
2022-01-18
Report sent to call center — day 35, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-19
- 2022-01-27
- 2022-03-17
- 2022-06-16
-
2022-08-02
Dose 3 — Pfizer-BioNTech
- 2022-08-02
-
2022-08-04
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2022-08-05
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain, Swelling · NoneAdult check-in
- 2022-08-06
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-16
- 2022-08-23
- 2022-08-30
- 2022-09-06
- 2022-09-13
- 2022-11-01
- 2023-01-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-09 | Pfizer-BioNTech | No |
| 2 | 2021-12-14 | Pfizer-BioNTech | No |
| 3 | 2022-08-02 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-18 | Unsuccessful |
Free text
Release 10 — day 35, dose 2, dependent
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Swollen lymph nodes
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 | Influenza | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release