D76-25963-31777
2 vaccinations
0 coded responses
8 check-ins
0 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 006 / PR
- Registered
- 2021-12-29
- Relationship
- Child or adolescent in my care
- Guardian
- ZSX-30237-64038
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-12-20
Dose 1 — Pfizer-BioNTech
-
2021-12-29
Registered in v-safe
-
2021-12-29
Health check-in — day 7, dose 1, dependentFeeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Vomiting · 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 visitAdult check-in
-
2021-12-29
Report sent to call center — day 7, dose 1, 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)
-
2021-12-30
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-03
- 2022-01-10
-
2022-01-11
Dose 2 — Pfizer-BioNTech
- 2022-01-17
- 2022-02-01
- 2022-02-08
- 2022-02-22
- 2023-01-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-20 | Pfizer-BioNTech | No |
| 2 | 2022-01-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-29 | Successful 2021-12-30 |
Participant prefers to complete VAERS report online |
Free text
None.
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
No MedDRA codes.