BHA-49388-69816
2 vaccinations
1 coded response
15 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 930 / CA
- Registered
- 2021-12-22
- Relationship
- Child or adolescent in my care
- Guardian
- J32-30891-95999
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-30
Dose 1 — Pfizer-BioNTech
-
2021-12-22
Registered in v-safe
-
2021-12-22
Dose 2 — Pfizer-BioNTech
- 2021-12-22
-
2021-12-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Redness · NoneAdult check-in
-
2021-12-24
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-26
- 2021-12-27
- 2021-12-28
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-28
- 2022-02-02
- 2022-03-23
-
2022-06-22
Survey response — 6 months, dose 2, dependentMedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, sore throat, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-24
Health check-in — 12 months, dose 2, dependentFeeling: 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 · Telehealth, virtual health, or email health consultationFree text: Covid 19 infectionAdult check-in · check-in free text available
-
2022-12-24
Call case (no matching report) — SuccessfulDoes not wish to fill out VAERS report
-
2022-12-27
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-30 | Pfizer-BioNTech | No |
| 2 | 2021-12-22 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 12 — 6 months, dose 2, dependent
Symptoms: Cough, sore throat, congestion
Release 12 — 12 months, dose 2, dependent
Symptoms: Covid 19 infection
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 | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release