BFV-86290-30747
2 vaccinations
2 coded responses
11 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 723 / AR
- Registered
- 2021-12-08
- Relationship
- Child or adolescent in my care
- Guardian
- 3J9-26756-87410
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-08
Registered in v-safe
-
2021-12-08
Dose 1 — Pfizer-BioNTech
- 2021-12-08
- 2021-12-11
- 2021-12-17
- 2021-12-23
-
2021-12-29
Dose 2 — Pfizer-BioNTech
- 2021-12-29
- 2021-12-30
- 2022-01-02
-
2022-01-08
Health check-in — day 7, dose 2, dependentFeeling: Fair · Chills, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-12
Survey response — day 14, dose 2, dependentMedDRA: Abdominal pain, Constipation, Emergency care — Feeling: Good · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Abdominal pain and severe constipation. · Healthcare visit (other): (b)(6) HospitalMedDRA releases: 2024-11 · check-in free text available
-
2022-01-12
Report sent to call center — day 14, dose 2, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-01-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-21
-
2022-12-29
Survey response — 12 months, dose 2, dependentMedDRA: Lacrimation increased, Nasopharyngitis, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Soar throat, watering eyes, cold symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-29
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)
- 2022-12-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-08 | Pfizer-BioNTech | No |
| 2 | 2021-12-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-12 | Successful 2022-01-13 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-12-29 | Unsuccessful |
Free text
Release 10 — day 14, dose 2, dependent
Symptoms: Abdominal pain and severe constipation.
Healthcare visit (other): (b)(6) Hospital
redacted (b)(6)
Release 12 — 12 months, dose 2, dependent
Symptoms: Soar throat, watering eyes, cold symptoms.
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 |
|---|---|---|---|---|
| HCVO | Emergency care | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release