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6VT-17072-69070

3 vaccinations 2 coded responses 9 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
05-11
ZIP prefix
774 / TX
Registered
2021-12-02
Relationship
Child or adolescent in my care
Guardian
KAL-23301-35895
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-26
    Dose 1 — Pfizer-BioNTech
    Co-administered: Flu
  2. 2021-12-02
    Registered in v-safe
  3. 2021-12-02
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-12-04
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-12-10
    Survey response — day 14, dose 1, dependent
    MedDRA: Cough — Feeling: Fair
    Free text: Coughing
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-17
    Dose 2 — Pfizer-BioNTech
  7. 2022-01-02
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  8. 2022-01-07
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  9. 2022-03-18
  10. 2022-06-19
  11. 2022-08-12
    Dose 3 — Pfizer-BioNTech
  12. 2022-09-23
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2023-02-10
    Survey response — 6 months, dose 3, dependent
    MedDRA: Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  14. 2023-02-10
    Report sent to call center — 6 months, dose 3, dependent
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2023-02-13
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-11-26Pfizer-BioNTech Flu
22021-12-17Pfizer-BioNTech No
32022-08-12Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2023-02-10 Successful
2023-02-13
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 10 — day 14, dose 1, dependent

2021-12-10

Symptoms: Coughing

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDUpper respiratory tract infection · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release