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
-
2021-11-26
Dose 1 — Pfizer-BioNTechCo-administered: Flu
-
2021-12-02
Registered in v-safe
- 2021-12-02
- 2021-12-04
-
2021-12-10
Survey response — day 14, dose 1, dependentMedDRA: Cough — Feeling: FairFree text: CoughingMedDRA releases: 2024-11 · check-in free text available
-
2021-12-17
Dose 2 — Pfizer-BioNTech
- 2022-01-02
- 2022-01-07
- 2022-03-18
- 2022-06-19
-
2022-08-12
Dose 3 — Pfizer-BioNTech
- 2022-09-23
-
2023-02-10
Survey response — 6 months, dose 3, dependentMedDRA: 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 visitMedDRA releases: 2024-11
-
2023-02-10
Report sent to call center — 6 months, dose 3, 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)
-
2023-02-13
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 | 2021-11-26 | Pfizer-BioNTech | Flu |
| 2 | 2021-12-17 | Pfizer-BioNTech | No |
| 3 | 2022-08-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release