FHB-39581-43023
2 vaccinations
2 coded responses
9 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 222 / VA
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- 2MS-33065-07706
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Pfizer-BioNTech
-
2022-06-27
Registered in v-safe
-
2022-06-27
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-06-28
- 2022-06-29
- 2022-07-02
-
2022-07-09
Survey response — day 14, dose 1, dependentMedDRA: COVID-19, Pyrexia, Vomiting — 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: COVID - fever, vomiting,MedDRA releases: 2024-11 · check-in free text available
-
2022-07-09
Report sent to call center — day 14, 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)
-
2022-07-11
Call successfulParticipant prefers to complete VAERS report online
-
2022-07-16
Survey response — day 21, dose 1, dependentMedDRA: COVID-19 — Feeling: Good · 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: Got COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-07-16
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)
-
2022-07-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-21
Dose 2 — Pfizer-BioNTech
- 2022-07-26
- 2022-07-27
- 2022-07-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Pfizer-BioNTech | No |
| 2 | 2022-07-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-09 | Successful 2022-07-11 |
Participant prefers to complete VAERS report online |
| 2022-07-16 | Successful 2022-07-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: COVID - fever, vomiting,
Release 12 — day 21, dose 1, dependent
Symptoms: Got 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 | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release