6KQ-73222-72697
1 vaccination
3 coded responses
11 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 501 / IA
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- XUW-26899-80185
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Pfizer-BioNTech
-
2022-06-27
Registered in v-safe
- 2022-06-27
- 2022-06-28
- 2022-06-30
- 2022-07-03
- 2022-07-10
- 2022-07-17
-
2022-07-23
Survey response — day 28, dose 1, under 3MedDRA: Cough, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Poor · 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: Runny nose, sneezing, coughing, low grade feverMedDRA releases: 2024-11 · check-in free text available
-
2022-07-23
Report sent to call center — day 28, dose 1, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-29
-
2022-08-05
Survey response — day 42, dose 1, under 3MedDRA: Cough, Exposure to SARS-CoV-2, Office visit, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · 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: She had symptoms of Covid, and both parents tested positive. She had runny nose, congestion, and cough. She had a rapid test, and a PCR from the doctor. Both were negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-05
Report sent to call center — day 42, dose 1, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-23
-
2022-12-23
Survey response — 6 months, dose 1, under 3MedDRA: Cough, Ear infection, Pyrexia — Feeling: Fair · 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: Fever cough ear infection. Not CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-12-23
Report sent to call center — 6 months, dose 1, under 3Be 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)
-
2022-12-27
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 | 2022-06-24 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-23 | Successful 2022-07-25 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-08-05 | Successful 2022-08-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-23 | Successful 2022-12-27 |
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 1, under 3
Symptoms: Runny nose, sneezing, coughing, low grade fever
Release 12 (Under 3) — day 42, dose 1, under 3
Symptoms: She had symptoms of Covid, and both parents tested positive. She had runny nose, congestion, and cough. She had a rapid test, and a PCR from the doctor. Both were negative.
Release 12 (Under 3) — 6 months, dose 1, under 3
Symptoms: Fever cough ear infection. Not Covid
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 infection | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release