5QJ-15556-79876
2 vaccinations
2 coded responses
16 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 300 / GA
- Registered
- 2021-11-17
- Relationship
- Child or adolescent in my care
- Guardian
- ZYE-26673-71633
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-11-17
Registered in v-safe
- 2021-11-17
- 2021-11-24
-
2021-12-02
Survey response — day 21, dose 1, dependentMedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Runny nose, coughMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Dose 2 — Pfizer-BioNTech
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-15
- 2021-12-23
- 2021-12-29
- 2022-01-05
- 2022-01-14
- 2022-01-21
- 2022-03-10
- 2022-06-08
-
2022-12-11
Survey response — 12 months, dose 2, dependentMedDRA: Ear pain, Pyrexia — 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: Fever, ear acheMedDRA releases: 2024-11 · check-in free text available
-
2022-12-11
Report sent to call center — 12 months, dose 2, dependentBe 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)
-
2022-12-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-08 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 21, dose 1, dependent
Symptoms: Runny nose, cough
Release 12 — 12 months, dose 2, dependent
Symptoms: Fever, ear ache
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 | Ear pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release