9SX-60641-16361
1 vaccination
2 coded responses
12 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 852 / AZ
- Registered
- 2021-12-16
- Relationship
- Child or adolescent in my care
- Guardian
- 5KM-60635-16435
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-16
Registered in v-safe
-
2021-12-16
Dose 1 — Pfizer-BioNTech
- 2021-12-16
- 2021-12-18
- 2021-12-19
- 2021-12-25
- 2021-12-30
- 2022-01-06
-
2022-01-13
Survey response — day 28, dose 1, dependentMedDRA: Nasal congestion, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: sore throat, runny/stuffy nose, fever, sneezingMedDRA releases: 2024-11 · check-in free text available
-
2022-01-13
Report sent to call center — day 28, dose 1, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-14
- 2022-01-17
- 2022-01-20
- 2022-01-28
- 2022-03-17
-
2022-06-16
Survey response — 6 months, dose 1, dependentMedDRA: Ear infection, Nasopharyngitis, Viral infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: normal colds/viruses ear infection etcMedDRA releases: 2024-11 · check-in free text available
-
2022-06-16
Report sent to call center — 6 months, dose 1, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-17
- 2022-06-17
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-16 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-13 | Unsuccessful | |
| 2022-06-16 | Unsuccessful |
Free text
Release 10 — day 28, dose 1, dependent
Symptoms: sore throat, runny/stuffy nose, fever, sneezing
Release 12 — 6 months, dose 1, dependent
Symptoms: normal colds/viruses ear infection etc
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 | Ear infection | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release