EBN-32483-68932
1 vaccination
1 coded response
9 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 294 / SC
- Registered
- 2021-11-06
- Relationship
- Child or adolescent in my care
- Guardian
- 75X-25404-51717
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-05
Dose 1 — Pfizer-BioNTech
-
2021-11-06
Registered in v-safe
-
2021-11-06
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-08
- 2021-11-09
-
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fever · Headache, Nausea, Vomiting, Abdominal pain · Be unable to work or attend schoolAdult check-in
-
2021-11-12
Health check-in — day 7, dose 1, dependentFeeling: Fair · Fever · Headache, Joint pains · Be unable to work or attend schoolAdult check-in
- 2021-11-19
- 2021-11-28
- 2022-02-05
-
2022-11-05
Survey response — 12 months, dose 1, dependentMedDRA: Headache, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fever, congestion, headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Report sent to call center — 12 months, dose 1, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-05 | Unsuccessful |
Free text
Release 12 — 12 months, dose 1, dependent
Symptoms: Fever, congestion, headache
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 | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release