4XV-53130-46255
3 vaccinations
3 coded responses
29 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 550 / MN
- Registered
- 2022-02-17
- Relationship
- Child or adolescent in my care
- Guardian
- TUV-34307-81055
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-02-16
Dose 1 — Pfizer-BioNTechCo-administered: MMR:Tetanus
-
2022-02-17
Registered in v-safe
-
2022-02-17
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain, Redness · Fever · None · Be unable to work or attend schoolAdult check-in
- 2022-02-18
- 2022-02-19
- 2022-02-20
- 2022-02-21
- 2022-02-22
- 2022-02-23
- 2022-03-02
-
2022-03-09
Dose 2 — Pfizer-BioNTech
- 2022-03-11
- 2022-03-12
- 2022-03-13
- 2022-03-14
- 2022-03-15
- 2022-03-16
- 2022-03-23
-
2022-03-30
Survey response — 21 day, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-04-06
- 2022-04-13
- 2022-04-22
-
2022-06-08
Survey response — 3 month, dose 2, dependentMedDRA: Cough, Dyspnoea, Hyperventilation, Influenza A virus test negative, Influenza B virus test negative, Malaise, Respiration abnormal, SARS-CoV-2 test negative — 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 · check-in answers available
-
2022-06-08
Report sent to call center — 3 month, 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)
-
2022-06-09
Call successfulNot applicable - Accidental Reporting
- 2022-09-09
-
2022-12-02
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-12-13
- 2022-12-16
- 2022-12-23
- 2022-12-30
- 2023-01-06
- 2023-01-13
- 2023-03-03
-
2023-06-02
Survey response — 6 month, dose 3, dependentMedDRA: Angioedema, Cough, Food intolerance — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2023-06-02
Call case (no matching report) — SuccessfulCompleted over the phone
-
2023-06-05
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-02-16 | Pfizer-BioNTech | MMR:Tetanus |
| 2 | 2022-03-09 | Pfizer-BioNTech | No |
| 3 | 2022-12-02 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-08 | Successful 2022-06-09 |
Not applicable - Accidental Reporting |
| 2023-06-02 | Successful 2023-06-05 |
Completed over the phone |
Free text
Release 11
Symptoms: Coughing, runny nose
Symptoms: He's been coughing and doing wierd breathing (looks like hyperventilating/gasping for air) the last month. He was sick in early May (tested 3x for COVID but negative) and negative for influenza a/b as well. CX-ray normal.
Free-text releases are not linked to a specific 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 | Angioedema | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Food intolerance | · | · | ✓ |
| SD | Hyperventilation | · | · | ✓ |
| SD | Influenza A virus test negative | · | · | ✓ |
| SD | Influenza B virus test negative | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Respiration abnormal | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release