7LZ-11217-27149
1 vaccination
2 coded responses
6 check-ins
0 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 841 / UT
- Registered
- 2022-12-21
- Relationship
- Child or adolescent in my care
- Guardian
- QQF-14171-14855
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-12-17
Dose 1 — Pfizer-BioNTech
-
2022-12-21
Registered in v-safe
-
2022-12-24
Health check-in — day 7, dose 1, dependentFeeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2023-01-02
Survey response — day 14, dose 1, dependentMedDRA: Asthenia, Fatigue, Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-02
Report sent to call center — day 14, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-03
Call successfulParticipant prefers to complete VAERS report online
-
2023-01-07
Survey response — day 21, dose 1, dependentMedDRA: Fatigue, Office visit, Pyrexia, Self-medication — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-07
Report sent to call center — day 21, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-09
Call successfulParticipant prefers to complete VAERS report online
- 2023-01-17
- 2023-01-23
- 2023-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-12-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-02 | Successful 2023-01-03 |
Participant prefers to complete VAERS report online |
| 2023-01-07 | Successful 2023-01-09 |
Participant prefers to complete VAERS report online |
Free text
None.
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 | Asthenia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release