CAH-19175-43166
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 871 / NM
- Registered
- 2021-11-30
- Relationship
- Child or adolescent in my care
- Guardian
- CB8-58719-12254
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Dose 1 — Pfizer-BioNTech
-
2021-11-30
Registered in v-safe
- 2021-11-30
-
2021-12-02
Dose 2 — Pfizer-BioNTech
-
2021-12-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-12-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2021-12-06
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
-
2021-12-08
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Runny nose and asthma type coughMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Survey response — day 7, dose 2, dependentMedDRA: Cough variant asthma — Feeling: FairFree text: Asthma cough. No rescue inhaler neededMedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
-
2022-03-03
Survey response — 3 months, dose 2, dependentMedDRA: Nasopharyngitis, Pre-existing disease — Feeling: Poor · Be unable to work or attend schoolFree text: Currently has a cold or allergies. Otherwise nothing new.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-02
Survey response — 6 months, dose 2, dependentMedDRA: Asthma, Pre-existing disease, SARS-CoV-2 test negative, Viral infection — Feeling: Good · 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: Asthma flare. Viral illness. No covid.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-02
Report sent to call center — 6 months, dose 2, 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)
-
2022-06-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-02 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Cough
Systemic reaction (other): Runny nose and asthma type cough
Release 10 — day 7, dose 2, dependent
Systemic reaction (other): Asthma cough. No rescue inhaler needed
Release 11 — 3 months, dose 2, dependent
Symptoms: Currently has a cold or allergies. Otherwise nothing new.
Release 11 — 6 months, dose 2, dependent
Symptoms: Asthma flare. Viral illness. No covid.
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 | Asthma | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Cough variant asthma | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release