69T-15426-29092
2 vaccinations
1 coded response
17 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 288 / NC
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- YK9-13245-82154
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Registered in v-safe
-
2022-08-17
Dose 1 — Pfizer-BioNTech
- 2022-09-04
- 2022-09-07
- 2022-09-14
-
2022-09-15
Dose 2 — Pfizer-BioNTech
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-29
- 2022-10-08
-
2022-10-13
Survey response — day 28, dose 2, under 3MedDRA: Mycoplasma infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with mycoplasmaMedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Report sent to call center — day 28, dose 2, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-20
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-17 | Pfizer-BioNTech | No |
| 2 | 2022-09-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-13 | Successful 2022-10-14 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: Diagnosed with mycoplasma
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 | Mycoplasma infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release