97G-18441-30261
3 vaccinations
4 coded responses
39 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 451 / OH
- Registered
- 2021-11-09
- Relationship
- Child or adolescent in my care
- Guardian
- YHR-25869-50777
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-09
Registered in v-safe
-
2021-11-09
Dose 1 — Pfizer-BioNTech
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
-
2021-11-16
Survey response — day 7, dose 1, dependentMedDRA: Nasal congestion — Feeling: FairFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
-
2021-11-30
Survey response — day 21, dose 1, dependentMedDRA: Body temperature increased, Fatigue, Office visit, Vomiting, Wheezing — Feeling: Fair · Be unable to work or attend schoolFree text: he vomited twice in the morning, and was tired. His second vaccine was scheduled for today. The pediatrician said he could get it of he wasn't wheezing and was fever-free. He subsequently had a 99.5/100 temp so rescheduled next week to be safe.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
-
2021-12-10
Dose 2 — Pfizer-BioNTech
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-16
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-01-22
- 2022-03-11
- 2022-06-12
-
2022-10-27
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
-
2022-12-10
Survey response — day 42, dose 3, dependentMedDRA: Pyrexia, Respiratory tract congestion, Streptococcal infection, Vomiting — 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 visitFree text: Strep a couple weeks ago. Then last Thursday: fever and vomiting. Fever ended. Congestion began and is significant.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-10
Report sent to call center — day 42, 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-12
- 2022-12-15
- 2023-01-26
-
2023-04-27
Survey response — 6 months, dose 3, dependentMedDRA: Conjunctivitis, Streptococcal infection — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-09 | Pfizer-BioNTech | No |
| 2 | 2021-12-10 | Pfizer-BioNTech | No |
| 3 | 2022-10-27 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-10 | Unsuccessful |
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Nasal congestion
Release 10 — day 21, dose 1, dependent
Symptoms: he vomited twice in the morning, and was tired. His second vaccine was scheduled for today. The pediatrician said he could get it of he wasn't wheezing and was fever-free. He subsequently had a 99.5/100 temp so rescheduled next week to be safe.
Release 12 — day 42, dose 3, dependent
Symptoms: Strep a couple weeks ago. Then last Thursday: fever and vomiting. Fever ended. Congestion began and is significant.
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 | Body temperature increased | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release