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AKH-94562-31402

2 vaccinations 8 coded responses 15 check-ins 8 free-text entries 1 call case
Sex
Male
Age at first dose
05-11
ZIP prefix
986 / WA
Registered
2022-06-04
Relationship
Child or adolescent in my care
Guardian
47Y-22595-38469
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-03
    Dose 1 — Pfizer-BioNTech
  2. 2022-06-04
    Registered in v-safe
  3. 2022-06-04
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Rhinorrhoea, Sinus congestion — Feeling: Fair
    Free text: Sinus congestion and runny nose
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-06-05
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair
    Free text: Congestion and runny nose
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-06-06
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Fever · Be unable to work or attend school
    Free text: Cough, congestion and runny nose
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-06-07
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Cough, Sinus congestion — Feeling: Poor · Be unable to work or attend school
    Free text: Cough, sinus congestion
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-06-08
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Diarrhea · Be unable to work or attend school
    Free text: Cough and congestion
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-06-09
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school
    Free text: Congestion and cough
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-06-10
    Survey response — day 7, dose 1, dependent
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school
    Free text: Cough and congestion
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-06-17
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-06-24
    Dose 2 — Pfizer-BioNTech
  12. 2022-07-08
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2022-07-15
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2022-07-22
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2022-07-29
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-08-05
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-09-23
    Survey response — 3 months, dose 2, dependent
    MedDRA: Cough, Sinusitis — 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 visit
    Free text: Sinus infection with cough
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-09-23
    Report sent to call center — 3 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  19. 2022-09-26
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  20. 2023-06-24

Vaccinations

DoseDateManufacturerCo-administered
12022-06-03Pfizer-BioNTech No
22022-06-24Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — days 1–6 daily, dose 1, dependent

2022-06-04

Systemic reaction (other): Sinus congestion and runny nose

2022-06-05

Systemic reaction (other): Congestion and runny nose

2022-06-06

Systemic reaction (other): Cough, congestion and runny nose

2022-06-07

Systemic reaction (other): Cough, sinus congestion

2022-06-08

Systemic reaction (other): Cough and congestion

Release 12 — days 1–6 daily, dose 1, dependent

2022-06-09

Systemic reaction (other): Congestion and cough

Release 12 — day 7, dose 1, dependent

2022-06-10

Systemic reaction (other): Cough and congestion

Release 12 — 3 months, dose 2, dependent

2022-09-23

Symptoms: Sinus infection with cough

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDSinusitis · · ✓
SROCough · · ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓
SROSinus congestion · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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