4UR-77774-04774

3 vaccinations 9 coded responses 29 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 05-11
ZIP prefix: 344 / FL
Registered: 2021-12-30

Relationship: Child or adolescent in my care
Guardian: 2SV-66801-75926
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-12-29
Dose 1 — Pfizer-BioNTech
2021-12-30
Registered in v-safe
2021-12-30
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-01-02
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Irritability — Feeling: Good

Free text: Irritable

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-01-07
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-01-13
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2022-01-28
Dose 2 — Pfizer-BioNTech
2022-01-28
Health check-in — day 0, dose 2, dependent
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2022-01-29
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-01-30
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-04
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-02-11
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-06
Survey response — day 35, dose 2, dependent
MedDRA: Sinusitis, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school

Free text: Sinus/upper respiratory infection

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Survey response — day 42, dose 2, dependent
MedDRA: Respiratory symptom — Feeling: Good · Be unable to work or attend school

Free text: Upper respiratory symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Survey response — 6 months, dose 2, dependent
MedDRA: Body temperature increased, Bronchitis, Cough, Croup infectious, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: On 7/2, Izzy began coughing and having a fever (low grade 99-100). I took her to urgent care on 7/8 after the cough worsen. Two home neg test. Stated croup/bronchitis. Still has cough.

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Report sent to call center — 6 months, dose 2, dependent
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-09
Dose 3 — Pfizer-BioNTech
2022-08-09
Health check-in — day 0, dose 3, dependent
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2022-08-11
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-08-12
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Irritability — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Irritable

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Irritability — Feeling: Good · Fatigue or tiredness

Free text: Irritable

MedDRA releases: 2024-11 · check-in free text available
2022-08-14
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-08-15
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-08-18
Survey response — day 7, dose 3, dependent
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Fever · Headache, Fatigue or tiredness

Free text: Cough, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-08-23
Survey response — day 14, dose 3, dependent
MedDRA: Cough, Fatigue, Office visit, Pyrexia, Respiratory tract congestion, Telemedicine — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Cough, congestion, fever, fatigue · Healthcare visit (other): Telemed then to office for swabs

MedDRA releases: 2024-11 · check-in free text available
2022-08-23
Report sent to call center — day 14, dose 3, dependent
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-24
Call 1 — Left Voicemail
2022-08-24
Call successful
Not applicable - Accidental Reporting
2022-08-30
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-06
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-20
Survey response — day 42, dose 3, dependent
MedDRA: Cough — Feeling: Fair · Be unable to work or attend school

Free text: Cough has not let up.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2023-02-07
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-12-29	Pfizer-BioNTech	No
2	2022-01-28	Pfizer-BioNTech	No
3	2022-08-09	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2022-01-02

Systemic reaction (other): Irritable

Release 11 — day 35, dose 2, dependent

2022-03-06

Symptoms: Sinus/upper respiratory infection

Release 11 — day 42, dose 2, dependent

2022-03-13

Symptoms: Upper respiratory symptoms

Release 12 — 6 months, dose 2, dependent

2022-07-31

Symptoms: On 7/2, Izzy began coughing and having a fever (low grade 99-100). I took her to urgent care on 7/8 after the cough worsen. Two home neg test. Stated croup/bronchitis. Still has cough.

Release 12 — days 1–6 daily, dose 3, dependent

2022-08-12

Systemic reaction (other): Irritable

2022-08-13

Systemic reaction (other): Irritable

Release 12 — day 7, dose 3, dependent

2022-08-18

Systemic reaction (other): Cough, congestion

Release 12 — day 14, dose 3, dependent

2022-08-23

Symptoms: Cough, congestion, fever, fatigue

Healthcare visit (other): Telemed then to office for swabs

Release 12 — day 42, dose 3, dependent

2022-09-20

Symptoms: Cough has not let up.

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	·	·	✓
HCVO	Telemedicine	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Croup infectious	·	·	✓
SD	Fatigue	·	·	✓
SD	Office visit	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Cough	·	·	✓
SRO	Irritability	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release