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
-
2021-11-15
Dose 1 — Pfizer-BioNTech
-
2021-11-22
Registered in v-safe
- 2021-11-22
- 2021-11-29
- 2022-02-14
-
2022-05-16
Survey response — 6 months, dose 1, dependentMedDRA: Bronchospasm — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bronchospasms during physical exertionMedDRA releases: 2024-11 · check-in free text available
-
2022-05-16
Report sent to call center — 6 months, dose 1, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-17
-
2022-05-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-15
Survey response — 12 months, dose 1, dependentMedDRA: Diarrhoea, Lethargy, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Fever and lethargy for one day (11/13), diarrheaMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-15 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 11 — 6 months, dose 1, dependent
Symptoms: Bronchospasms during physical exertion
Release 12 — 12 months, dose 1, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Bronchospasm | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release