89Q-19342-96594
3 vaccinations
1 coded response
6 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 774 / TX
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- A5X-92509-26403
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Dose 2 — Pfizer-BioNTech
-
2021-10-11
Dose 3 — Pfizer-BioNTech
-
2021-11-14
Registered in v-safe
- 2021-11-14
- 2021-11-15
- 2021-11-22
-
2022-01-10
Survey response — 3 months, dose 3, dependentMedDRA: Dyspnoea, Pain, Pyrexia, Respiratory tract congestion, Wheezing — 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: Fever, Body Ache, Breathing difficulty, Congestion, Wheezing.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-10
Report sent to call center — 3 months, dose 3, 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)
-
2022-01-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-11
- 2022-10-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Pfizer-BioNTech | No |
| 2 | 2021-03-13 | Pfizer-BioNTech | No |
| 3 | 2021-10-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — 3 months, dose 3, dependent
Symptoms: Fever, Body Ache, Breathing difficulty, Congestion, Wheezing.
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 | Dyspnoea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release