63L-72205-05987
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 723 / AR
- Registered
- 2021-12-29
- Relationship
- Child or adolescent in my care
- Guardian
- 3J9-26756-87410
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-29
Registered in v-safe
-
2021-12-29
Dose 1 — Pfizer-BioNTech
- 2021-12-29
-
2021-12-30
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-02
- 2022-01-08
- 2022-01-12
-
2022-01-19
Survey response — day 21, dose 1, dependentMedDRA: Abdominal pain, Cough, Diarrhoea, Headache, Oropharyngeal pain — 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 professional · Outpatient clinic or urgent care clinic visitFree text: Headaches, sore throat, coughing, abdominal pain, and diarrhea.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-19
Report sent to call center — day 21, dose 1, dependentBe 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)
-
2022-01-20
Call successfulCompleted over the phone
-
2022-03-30
Survey response — 3 months, dose 1, dependentMedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Arm soreness.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-29
Survey response — 12 months, dose 1, dependentMedDRA: Influenza — 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 professional · Outpatient clinic or urgent care clinic visitFree text: FluMedDRA releases: 2024-11 · check-in free text available
-
2022-12-29
Report sent to call center — 12 months, dose 1, dependentBe 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)
-
2022-12-30
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-19 | Successful 2022-01-20 |
Completed over the phone |
| 2022-12-29 | Successful 2022-12-30 |
Reported to VAERS during previous contact from GDIT |
Free text
Release 10 — day 21, dose 1, dependent
Symptoms: Headaches, sore throat, coughing, abdominal pain, and diarrhea.
Release 11 — 3 months, dose 1, dependent
Symptoms: Arm soreness.
Release 12 — 12 months, dose 1, dependent
Symptoms: Flu
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 | Abdominal pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release