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DCE-12037-14710

1 vaccination 2 coded responses 5 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
05-11
ZIP prefix
228 / VA
Registered
2021-11-22
Relationship
Child or adolescent in my care
Guardian
43H-16065-31498
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-15
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-22
    Registered in v-safe
  3. 2021-11-22
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-29
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  5. 2022-02-14
  6. 2022-05-16
    Survey response — 6 months, dose 1, dependent
    MedDRA: Bronchospasm — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Bronchospasms during physical exertion
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-05-16
    Report sent to call center — 6 months, dose 1, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  8. 2022-05-17
  9. 2022-05-18
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  10. 2022-11-15
    Survey response — 12 months, dose 1, dependent
    MedDRA: Diarrhoea, Lethargy, Pyrexia — Feeling: Good · Be unable to work or attend school
    Free text: Fever and lethargy for one day (11/13), diarrhea
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-11-15Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — 6 months, dose 1, dependent

2022-05-16

Symptoms: Bronchospasms during physical exertion

Release 12 — 12 months, dose 1, dependent

2022-11-15

Symptoms: Fever and lethargy for one day (11/13), diarrhea

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

FieldPreferred term2021-092023-042024-11
SDBronchospasm · · ✓
SDDiarrhoea · · ✓
SDLethargy · · ✓
SDPyrexia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release