5PA-33123-82263

3 vaccinations 7 coded responses 20 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 950 / CA
Registered: 2022-07-18

Relationship: Child or adolescent in my care
Guardian: QX2-25216-82927
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2022-06-28
Dose 1 — Pfizer-BioNTech
2022-07-18
Registered in v-safe
2022-07-18
Health check-in — day 14, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-07-19
Survey response — day 21, dose 1, under 3
MedDRA: Gastroenteritis viral, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Vomited 5 times on 4th for July. Seem to have a stomach virus. It passed after 24hrs

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Dose 2 — Pfizer-BioNTech
2022-07-23
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-07-24
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-07-26
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-07-27
Health check-in — day 7, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-03
Health check-in — day 14, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-10
Survey response — day 21, dose 2, under 3
MedDRA: Asthenia, Croup infectious, Emergency care, Lacrimation increased, Oxygen saturation decreased, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing — 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 · Emergency room or emergency department visit

Free text: Got covid 19 positive from PCR test on 08/08/2022. The next day symptoms of chest congestion, sneezing watery eyes and low energy started. On 08/10/2022 had croup snd blood O2 saturation level went below 90% and taken to ER

MedDRA releases: 2024-11 · check-in free text available
2022-08-10
Report sent to call center — day 21, dose 2, under 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-08-11
Call successful
Does not wish to fill out VAERS report
2022-08-17
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-24
Health check-in — day 35, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-31
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-19
Survey response — 3 months, dose 2, under 3
MedDRA: Hand-foot-and-mouth disease, Pneumonia, Respiratory syncytial virus infection — 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 visit

Free text: Hand, foot, mouth disease then RSV and pneumonia

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — 3 months, dose 2, under 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-03
Dose 3 — Pfizer-BioNTech
2022-11-09
Survey response — days 1–6 daily, dose 3, under 3
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Survey response — day 7, dose 3, under 3
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Health check-in — day 14, dose 3, under 3
Feeling: Fair

Under 3 check-in
2022-11-24
Health check-in — day 21, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-12-12
Health check-in — day 35, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-12-15
Survey response — day 42, dose 3, under 3
MedDRA: Cough, Sputum discoloured, Wheezing — Feeling: Poor · Be unable to work or attend school

Free text: Wheezing coughing and green mucus

MedDRA releases: 2024-11 · check-in free text available
2023-02-02
Health check-in — 3 months, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-05-04
Survey response — 6 months, dose 3, under 3
MedDRA: Cough, Malaise, Rhinorrhoea — 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-04
Report sent to call center — 6 months, dose 3, under 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-28	Pfizer-BioNTech	No
2	2022-07-20	Pfizer-BioNTech	No
3	2022-11-03	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-07-19

Symptoms: Vomited 5 times on 4th for July. Seem to have a stomach virus. It passed after 24hrs

Release 12 (Under 3) — day 21, dose 2, under 3

2022-08-10

Symptoms: Got covid 19 positive from PCR test on 08/08/2022. The next day symptoms of chest congestion, sneezing watery eyes and low energy started. On 08/10/2022 had croup snd blood O2 saturation level went below 90% and taken to ER

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-10-19

Symptoms: Hand, foot, mouth disease then RSV and pneumonia

Release 12 (Under 3) — days 1–6 daily, dose 3, under 3

2022-11-09

Systemic reaction (other): Runny nose

Release 12 (Under 3) — day 7, dose 3, under 3

2022-11-10

Systemic reaction (other): Runny nose

Release 12 (Under 3) — day 42, dose 3, under 3

2022-12-15

Symptoms: Wheezing coughing and green mucus

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	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	Croup infectious	·	·	✓
SD	Emergency care	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Hand-foot-and-mouth disease	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Malaise	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pneumonia	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sneezing	·	·	✓
SD	Sputum discoloured	·	·	✓
SD	Vomiting	·	·	✓
SD	Wheezing	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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