5DZ-19757-41502
2 vaccinations
3 coded responses
6 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 234 / VA
- Registered
- 2022-10-11
- Relationship
- Child or adolescent in my care
- Guardian
- 5BY-19493-34513
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-25
Dose 1 — Pfizer-BioNTech
-
2022-09-19
Dose 2 — Pfizer-BioNTech
-
2022-10-11
Registered in v-safe
-
2022-10-11
Survey response — day 21, dose 2, under 3MedDRA: Constipation, Pyrexia, Respiratory tract congestion — Feeling: PoorFree text: Constipation-this is an intermittent problem since July 2022 She got the flu shot 11/8/22 and had a low grade fever and congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
-
2022-10-24
Survey response — day 35, dose 2, under 3MedDRA: Nasopharyngitis, Pre-existing disease — Feeling: FairFree text: She has allergies or a coldMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
-
2022-12-19
Survey response — 3 months, dose 2, under 3MedDRA: Ear infection — 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: She has an ear infection.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-19
Report sent to call center — 3 months, dose 2, under 3Be 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)
-
2022-12-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-25 | Pfizer-BioNTech | No |
| 2 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Constipation-this is an intermittent problem since July 2022 She got the flu shot 11/8/22 and had a low grade fever and congestion
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: She has allergies or a cold
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: She has an ear infection.
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 | Constipation | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release