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7KQ-10076-12124

3 vaccinations 2 coded responses 9 check-ins 2 free-text entries 2 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
559 / MN
Registered
2022-01-19
Relationship
Child or adolescent in my care
Guardian
XXX-81776-41599
Race
Other
Ethnicity
N/A

Timeline

  1. 2021-05-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-09
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-06
    Dose 3 — Pfizer-BioNTech
  4. 2022-01-19
    Registered in v-safe
  5. 2022-01-19
    Health check-in — 7 day, dose 3, dependent
    Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2022-01-20
    Survey response — 14 day, dose 3, dependent
    MedDRA: Respiratory tract infection viral, SARS-CoV-2 test — Feeling: Good · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11 · check-in answers available
  7. 2022-01-20
    Report sent to call center — 14 day, dose 3, dependent
    Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2022-01-21
  9. 2022-01-25
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  10. 2022-01-27
    Health check-in — 21 day, dose 3, dependent
    Feeling: Good
    Adult check-in
  11. 2022-02-04
    Health check-in — 28 day, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-02-10
    Health check-in — 35 day, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-02-20
    Health check-in — 42 day, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-04-07
    Survey response — 3 month, dose 3, dependent
    MedDRA: Gingivectomy, Retinal tear — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11 · check-in answers available
  15. 2022-04-07
    Report sent to call center — 3 month, dose 3, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2022-04-11
  17. 2022-07-08
    Health check-in — 6 month, dose 3, dependent
    Feeling: Good
    Adult check-in
  18. 2023-01-06

Vaccinations

DoseDateManufacturerCo-administered
12021-05-14Pfizer-BioNTech No
22021-06-09Pfizer-BioNTech No
32022-01-06Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-01-20 Successful
2022-01-25
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-07 Unsuccessful

Free text

Release 10

Symptoms: Gabe caught a respiratory virus. He was PCR tested and it came back negative. He's on the mend.
Healthcare visit (other): Got a COVID test

Release 11

Symptoms: Operculated retinal hole. I don't think it's related to the vaccine, but it needed laser treatment.

Free-text releases are not linked to a specific 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
HCVOSARS-CoV-2 test · · ✓
SDGingivectomy · · ✓
SDRespiratory tract infection viral · · ✓
SDRetinal tear · · ✓

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