DKR-25617-10279
3 vaccinations
6 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 100 / NY
- Registered
- 2022-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- 34Z-38493-37155
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Dose 1 — Pfizer-BioNTech
-
2022-06-30
Registered in v-safe
-
2022-06-30
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Fever · NoneAdult check-in
-
2022-07-02
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-06
-
2022-07-13
Survey response — day 14, dose 1, dependentMedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-07-20
-
2022-07-27
Dose 2 — Pfizer-BioNTech
- 2022-07-27
- 2022-07-30
- 2022-08-03
-
2022-08-31
Survey response — day 35, dose 2, dependentMedDRA: Eczema — Feeling: GoodFree text: New eczema patches on neck and inside of elbowsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-07
Survey response — day 42, dose 2, dependentMedDRA: Eczema — Feeling: GoodFree text: EczemaMedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
-
2022-11-04
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-04
Health check-in — day 0, dose 3, dependentFeeling: Fair · Site: Pain, Swelling · Fever · NoneAdult check-in
-
2022-11-05
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-11-06
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-11-08
- 2022-11-13
-
2022-11-25
Survey response — day 21, dose 3, dependentMedDRA: Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend schoolFree text: Fever, vomitingMedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
-
2022-12-22
Survey response — day 42, dose 3, dependentMedDRA: Cough, Diarrhoea, Pyrexia — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Fever, cough, diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-12-22
Report sent to call center — day 42, dose 3, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-02-03
Survey response — 3 months, dose 3, dependentMedDRA: Cough — Feeling: GoodMedDRA releases: 2024-11
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | Pfizer-BioNTech | No |
| 2 | 2022-07-27 | Pfizer-BioNTech | No |
| 3 | 2022-11-04 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Cough
Release 12 — day 35, dose 2, dependent
Symptoms: New eczema patches on neck and inside of elbows
Release 12 — day 42, dose 2, dependent
Symptoms: Eczema
Release 12 — day 21, dose 3, dependent
Symptoms: Fever, vomiting
Release 12 — day 42, dose 3, dependent
Symptoms: Fever, cough, 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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release