7VH-19531-25911
2 vaccinations
7 coded responses
14 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 212 / MD
- Registered
- 2021-12-02
- Relationship
- Child or adolescent in my care
- Guardian
- YK8-13067-29570
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Dose 1 — Pfizer-BioNTech
-
2021-12-02
Registered in v-safe
-
2021-12-02
Dose 2 — Pfizer-BioNTech
- 2021-12-02
-
2021-12-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-05
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-06
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Leg achingMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Faeces discoloured, Faeces soft — Feeling: Good · Site: PainFree text: Greenish yellow soft stoolMedDRA releases: 2024-11 · check-in free text available
-
2021-12-11
Health check-in — day 7, dose 2, dependentFeeling: Fair · Site: Pain · Nausea, DiarrheaAdult check-in
-
2021-12-16
Survey response — day 14, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Running noseMedDRA releases: 2024-11 · check-in free text available
- 2021-12-25
- 2021-12-30
- 2022-01-06
-
2022-01-14
Survey response — day 42, dose 2, dependentMedDRA: Abdominal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Runny nose, congestion, some tummy achesMedDRA releases: 2024-11 · check-in free text available
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2022-03-03
Survey response — 3 months, dose 2, dependentMedDRA: Abdominal pain upper, Dermatitis allergic, Urticaria — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Moderately severe allergic reaction to cedar dust (hives all over body where there was none before. Also frequent stomach aches.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-03
Report sent to call center — 3 months, dose 2, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-04
-
2022-06-02
Survey response — 6 months, dose 2, dependentMedDRA: Malaise — 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 · Outpatient clinic or urgent care clinic visitFree text: Covid symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-02
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-03
- 2022-06-03
-
2022-12-03
Survey response — 12 months, dose 2, dependentMedDRA: Ear infection, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Repeat double ear infections, sinus infectionsMedDRA releases: 2024-11 · check-in free text available
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2022-12-03
Report sent to call center — 12 months, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-05
- 2022-12-05
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-02 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-03 | Unsuccessful | |
| 2022-06-02 | Unsuccessful | |
| 2022-12-03 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Leg aching
Systemic reaction (other): Greenish yellow soft stool
Release 10 — day 14, dose 2, dependent
Symptoms: Running nose
Release 10 — day 42, dose 2, dependent
Symptoms: Runny nose, congestion, some tummy aches
Release 11 — 3 months, dose 2, dependent
Symptoms: Moderately severe allergic reaction to cedar dust (hives all over body where there was none before. Also frequent stomach aches.
Release 11 — 6 months, dose 2, dependent
Symptoms: Covid symptoms
Release 12 — 12 months, dose 2, dependent
Symptoms: Repeat double ear infections, sinus infections
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 | Abdominal pain | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Dermatitis allergic | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Faeces discoloured | · | · | ✓ |
| SRO | Faeces soft | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release