6X7-54739-91154
2 vaccinations
2 coded responses
21 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 374 / TN
- Registered
- 2022-01-01
- Relationship
- Child or adolescent in my care
- Guardian
- 7EC-12848-81369
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-30
Dose 1 — Pfizer-BioNTech
-
2022-01-01
Registered in v-safe
-
2022-01-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tiredness, VomitingAdult check-in
-
2022-01-02
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-01-03
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Chills, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
-
2022-01-03
Report sent to call center — days 1–6 daily, dose 1, dependentGet care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-01-04
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Appendicectomy, Appendicitis — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Systemic reaction (other): Appendicitis · Healthcare visit (other): Appendectomy surgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Report sent to call center — days 1–6 daily, dose 1, dependentGet care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-04
- 2022-01-06
- 2022-01-08
- 2022-01-20
-
2022-01-28
Dose 2 — Pfizer-BioNTech
- 2022-01-28
-
2022-01-29
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-01-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-01-31
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Injection site rash — Feeling: GoodFree text: Rash around injection site.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-02
- 2022-02-03
- 2022-02-04
- 2022-02-11
- 2022-02-18
- 2022-02-25
- 2022-03-05
- 2022-03-13
- 2022-04-29
- 2022-07-29
- 2023-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-30 | Pfizer-BioNTech | No |
| 2 | 2022-01-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-03 | Unsuccessful | |
| 2022-01-04 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Release 11 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Rash around injection site.
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 |
|---|---|---|---|---|
| HCVO | Appendicectomy | · | · | ✓ |
| SRO | Appendicitis | · | · | ✓ |
| SRO | Injection site rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release