D6M-27725-32272
3 vaccinations
2 coded responses
11 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 559 / MN
- Registered
- 2022-01-19
- Relationship
- Child or adolescent in my care
- Guardian
- XXX-81776-41599
- Race
- Other
- Ethnicity
- N/A
Timeline
-
2021-11-12
Dose 1 — Pfizer-BioNTech
-
2021-12-04
Dose 2 — Pfizer-BioNTech
-
2022-01-19
Registered in v-safe
- 2022-01-19
- 2022-03-05
-
2022-06-04
Survey response — 6 month, dose 2, dependentMedDRA: Ligament sprain — 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 visitMedDRA releases: 2024-11 · check-in answers available
-
2022-06-04
Report sent to call center — 6 month, 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)
- 2022-06-06
-
2022-11-15
Dose 3 — Pfizer-BioNTech
-
2022-11-21
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Chills, Pain — Feeling: Fair · Fever · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2022-12-13
- 2022-12-21
- 2022-12-27
- 2023-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Pfizer-BioNTech | No |
| 2 | 2021-12-04 | Pfizer-BioNTech | No |
| 3 | 2022-11-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-04 | Unsuccessful |
Free text
Release 11
Symptoms: He sprained his ankle.
Release 12
Systemic reaction (other): Caleb had significant chills and aches on 11/16/22
Free-text releases are not linked to a specific 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 | Ligament sprain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release