7J9-32482-34812
2 vaccinations
2 coded responses
7 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 949 / CA
- Registered
- 2022-01-06
- Relationship
- Child or adolescent in my care
- Guardian
- ZEG-61615-94611
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-14
Dose 1 — Pfizer-BioNTech
-
2021-12-11
Dose 2 — Pfizer-BioNTech
-
2022-01-06
Registered in v-safe
- 2022-01-06
- 2022-01-09
-
2022-01-15
Survey response — day 35, dose 2, dependentMedDRA: SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Vomiting x 1 day. No fever or diarrhea. Brother with same symptoms. Covid rapid antigen negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-24
- 2022-03-12
-
2022-06-11
Survey response — 6 months, dose 2, dependentMedDRA: COVID-19, Pre-existing disease, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: 1) Environmental/seasonal allergies - takes fluticasone, Loratadine daily. 2) COVID infection - symptomatic and positive test 5/30/22MedDRA releases: 2024-11 · check-in free text available
-
2022-06-11
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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-06-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-11 | Successful 2022-06-14 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — day 35, dose 2, dependent
Symptoms: Vomiting x 1 day. No fever or diarrhea. Brother with same symptoms. Covid rapid antigen negative.
Release 12 — 6 months, dose 2, dependent
Symptoms: 1) Environmental/seasonal allergies - takes fluticasone, Loratadine daily. 2) COVID infection - symptomatic and positive test 5/30/22
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 | COVID-19 | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release