6PY-19672-43700
2 vaccinations
3 coded responses
10 check-ins
3 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 971 / OR
- Registered
- 2021-11-20
- Relationship
- Child or adolescent in my care
- Guardian
- 2XP-96186-74489
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-11-20
Registered in v-safe
- 2021-11-20
- 2021-11-26
-
2021-12-01
Dose 2 — Pfizer-BioNTech
-
2021-12-15
Survey response — day 14, dose 2, dependentMedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cold- runny nose, sore throat, cough, negative Covid testMedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Report sent to call center — day 14, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-05
-
2022-06-01
Survey response — 6 months, dose 2, dependentMedDRA: Chills, Cough, Pneumonia, Pyrexia, Respiratory tract congestion, Rhinorrhoea — 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 visit, HospitalizationFree text: Cough, congestion, pneumonia, runny nose, fever, chillsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-01
Report sent to call center — 6 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 · Hospitalization · 1 call case(s)
- 2022-06-02
-
2022-12-01
Survey response — 12 months, dose 2, dependentMedDRA: Coeliac disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with Celiac disease.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Report sent to call center — 12 months, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-02
- 2022-12-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-15 | Successful 2021-12-16 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-06-01 | Unsuccessful | |
| 2022-12-01 | Unsuccessful |
Free text
Release 10 — day 14, dose 2, dependent
Symptoms: Cold- runny nose, sore throat, cough, negative Covid test
Release 11 — 6 months, dose 2, dependent
Symptoms: Cough, congestion, pneumonia, runny nose, fever, chills
Release 12 — 12 months, dose 2, dependent
Symptoms: Diagnosed with Celiac disease.
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 | Chills | · | · | ✓ |
| SD | Coeliac disease | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release