5W3-30723-73752
2 vaccinations
2 coded responses
19 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 430 / OH
- Registered
- 2021-11-17
- Relationship
- Child or adolescent in my care
- Guardian
- FAP-20010-46463
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-15
Dose 1 — Pfizer-BioNTech
-
2021-11-17
Registered in v-safe
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2021-12-08
Dose 2 — Pfizer-BioNTech
-
2021-12-13
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend schoolAdult check-in
- 2021-12-14
- 2021-12-15
- 2021-12-22
-
2021-12-29
Survey response — day 21, dose 2, dependentMedDRA: Abdominal pain upper, Myalgia, Nasal congestion — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Stomach pain, stuffy nose, muscle achesMedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Report sent to call center — day 21, dose 2, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2021-12-30
Call successfulDoes not wish to fill out VAERS report
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-03-09
- 2022-06-08
-
2022-12-08
Survey response — 12 months, dose 2, dependentMedDRA: Malaise, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sick a number of times · Healthcare visit (other): Pediatrician's officeMedDRA releases: 2024-11 · check-in free text available
-
2022-12-08
Report sent to call center — 12 months, 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 pr1 call case(s)
- 2022-12-09
-
2022-12-09
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 | 2021-11-15 | Pfizer-BioNTech | No |
| 2 | 2021-12-08 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — day 21, dose 2, dependent
Symptoms: Stomach pain, stuffy nose, muscle aches
Release 12 — 12 months, dose 2, dependent
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release