65P-23105-67921
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 460 / IN
- Registered
- 2021-11-11
- Relationship
- Child or adolescent in my care
- Guardian
- XZN-27657-54657
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-09
Dose 1 — Pfizer-BioNTech
-
2021-11-11
Registered in v-safe
-
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
-
2021-11-17
Survey response — day 7, dose 1, dependentMedDRA: Rhinorrhoea, Sneezing — Feeling: GoodFree text: Runny nose, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-30
-
2021-12-03
Dose 2 — Pfizer-BioNTech
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
-
2021-12-19
Survey response — day 14, dose 2, dependentMedDRA: Cough — Feeling: Good · Be unable to work or attend schoolFree text: Dry coughMedDRA releases: 2024-11 · check-in free text available
- 2021-12-26
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-06
- 2022-06-05
-
2022-12-03
Survey response — 12 months, dose 2, dependentMedDRA: Pharyngitis streptococcal — 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: Strep throat x2MedDRA releases: 2024-11 · check-in free text available
-
2022-12-03
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-05
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 | 2021-11-09 | Pfizer-BioNTech | No |
| 2 | 2021-12-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-03 | Successful 2022-12-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Runny nose, sneezing
Release 10 — day 14, dose 2, dependent
Symptoms: Dry cough
Release 12 — 12 months, dose 2, dependent
Symptoms: Strep throat x2
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 | Pharyngitis streptococcal | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release