DXN-20514-86509
1 vaccination
1 coded response
8 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 600 / IL
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- 4R7-21160-71329
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-28
Registered in v-safe
-
2022-06-28
Dose 1 — Pfizer-BioNTech
-
2022-06-28
Health check-in — day 0, dose 1, dependentFeeling: Fair · Fatigue or tiredness, Abdominal painAdult check-in
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
-
2022-06-30
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
-
2022-07-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2022-07-04
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2022-07-05
Health check-in — day 7, dose 1, dependentFeeling: Fair · Fatigue or tiredness, Abdominal painAdult check-in
- 2022-07-15
-
2022-07-19
Survey response — day 21, dose 1, dependentMedDRA: COVID-19 — Feeling: Poor · 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 visitFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Report sent to call center — day 21, 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)
- 2022-07-20
-
2022-07-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-19 | Successful 2022-07-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: Covid
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 | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release