5JS-50420-89781
2 vaccinations
7 coded responses
18 check-ins
0 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 528 / IA
- Registered
- 2023-01-25
- Relationship
- Child or adolescent in my care
- Guardian
- N6L-14323-26651
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-01-25
Registered in v-safe
-
2023-01-25
Dose 1 — Pfizer-BioNTechCo-administered: Flu
- 2023-01-25
- 2023-01-27
-
2023-01-28
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Diarrhoea — Feeling: GoodMedDRA releases: 2024-11
- 2023-01-29
- 2023-01-30
- 2023-01-31
- 2023-02-01
-
2023-02-08
Survey response — day 14, dose 1, under 3MedDRA: Cough, Diarrhoea, Pyrexia, Sputum discoloured — Feeling: Poor · 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
-
2023-02-08
Report sent to call center — day 14, dose 1, under 3Be 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)
-
2023-02-09
Call successfulParticipant prefers to complete VAERS report online
- 2023-02-15
-
2023-02-22
Dose 2 — Pfizer-BioNTech
- 2023-02-22
-
2023-02-22
Survey response — day 28, dose 1, under 3MedDRA: Decreased appetite, Diarrhoea, Vomiting — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-02-23
-
2023-02-24
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Sleepiness, Irritability/crying, Diarrhea · Be unable to do your normal daily activitiesUnder 3 check-in
-
2023-02-28
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Cough — Feeling: FairMedDRA releases: 2024-11
-
2023-03-10
Survey response — day 14, dose 2, under 3MedDRA: Dermatitis diaper — Feeling: GoodMedDRA releases: 2024-11
-
2023-03-15
Survey response — day 21, dose 2, under 3MedDRA: Cough, Pyrexia — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
-
2023-03-24
Survey response — day 28, dose 2, under 3MedDRA: Croup infectious — 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
-
2023-03-24
Report sent to call center — day 28, dose 2, under 3Be 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)
- 2023-03-27
-
2023-03-27
Callback requested for03:00PM ET
-
2023-03-27
Call successfulDoes not wish to fill out VAERS report
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-01-25 | Pfizer-BioNTech | Flu |
| 2 | 2023-02-22 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
None.
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 | Cough | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dermatitis diaper | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release