FGZ-75100-90994
4 vaccinations
4 coded responses
29 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 493 / MI
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- XS7-18404-96501
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-06-23
Dose 1 — Pfizer-BioNTech
-
2022-06-23
Survey response — day 0, dose 1, under 3MedDRA: Insomnia — Feeling: Good · Fever · Irritability/cryingFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
-
2022-06-28
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Fever · Sleepiness, Irritability/crying, Loss of appetiteUnder 3 check-in
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-06-30
Health check-in — day 7, dose 1, under 3Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite, DiarrheaUnder 3 check-in
- 2022-07-07
-
2022-07-14
Dose 2 — Pfizer-BioNTech
- 2022-07-24
- 2022-07-28
- 2022-08-06
- 2022-08-11
- 2022-08-18
- 2022-08-27
-
2022-09-22
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-09-22
Health check-in — day 0, dose 3, under 3Feeling: Good · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-09-23
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Nasal congestion — Feeling: FairFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-09-24
- 2022-09-29
- 2022-10-28
- 2022-11-05
-
2022-12-22
Survey response — 3 months, dose 3, under 3MedDRA: Ear infection, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infection and runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-12-22
Report sent to call center — 3 months, dose 3, under 3Get care from a doctor or other healthcare professionalOutpatient 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
- 2023-03-23
-
2023-04-04
Dose 4 — Pfizer-BioNTech
- 2023-04-04
-
2023-04-05
Health check-in — days 1–6 daily, dose 4, under 3Feeling: Good · Site: Pain · DiarrheaUnder 3 check-in
-
2023-04-06
Health check-in — days 1–6 daily, dose 4, under 3Feeling: Good · Site: Swelling/hardness · NoneUnder 3 check-in
- 2023-04-07
- 2023-04-11
- 2023-04-21
- 2023-04-25
- 2023-05-02
- 2023-05-09
-
2023-05-16
Survey response — day 42, dose 4, under 3MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Pfizer-BioNTech | No |
| 2 | 2022-07-14 | Pfizer-BioNTech | No |
| 3 | 2022-09-22 | Pfizer-BioNTech | Flu |
| 4 | 2023-04-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-22 | Successful 2022-12-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 0, dose 1, under 3
Systemic reaction (other): Insomnia
Release 12 (Under 3) — days 1–6 daily, dose 3, under 3
Systemic reaction (other): Nasal congestion
Release 12 (Under 3) — 3 months, dose 3, under 3
Symptoms: Ear infection and runny nose
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 | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release