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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

  1. 2021-11-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-11
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-06
    Registered in v-safe
  4. 2022-01-06
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  5. 2022-01-09
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  6. 2022-01-15
    Survey response — day 35, dose 2, dependent
    MedDRA: SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free 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
  7. 2022-01-24
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  8. 2022-03-12
  9. 2022-06-11
    Survey response — 6 months, dose 2, dependent
    MedDRA: 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 consultation
    Free text: 1) Environmental/seasonal allergies - takes fluticasone, Loratadine daily. 2) COVID infection - symptomatic and positive test 5/30/22
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-06-11
    Report sent to call center — 6 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  11. 2022-06-14
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  12. 2022-12-11

Vaccinations

DoseDateManufacturerCo-administered
12021-11-14Pfizer-BioNTech No
22021-12-11Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-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

2022-01-15

Symptoms: Vomiting x 1 day. No fever or diarrhea. Brother with same symptoms. Covid rapid antigen negative.

Release 12 — 6 months, dose 2, dependent

2022-06-11

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDPre-existing disease · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSARS-CoV-2 test positive · · ✓
SDVomiting · · ✓

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