6Y6-38316-21018
3 vaccinations
1 coded response
8 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 945 / CA
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- ZXX-12372-75755
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-21
Dose 1 — Pfizer-BioNTech
-
2021-12-12
Dose 2 — Pfizer-BioNTech
-
2022-06-18
Dose 3 — Pfizer-BioNTech
-
2022-06-26
Registered in v-safe
- 2022-06-26
- 2022-07-02
-
2022-07-09
Survey response — day 21, dose 3, dependentMedDRA: Croup infectious — 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: CroupMedDRA releases: 2024-11 · check-in free text available
-
2022-07-09
Report sent to call center — day 21, 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)
- 2022-07-11
- 2022-07-16
- 2022-07-23
- 2022-07-30
- 2022-09-17
- 2022-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-21 | Pfizer-BioNTech | No |
| 2 | 2021-12-12 | Pfizer-BioNTech | No |
| 3 | 2022-06-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-09 | Unsuccessful |
Free text
Release 12 — day 21, dose 3, dependent
Symptoms: Croup
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 | Croup infectious | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release