FQL-21324-84379
3 vaccinations
2 coded responses
28 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 787 / TX
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- 8XB-11925-42876
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Dose 1 — Pfizer-BioNTech
-
2022-06-28
Registered in v-safe
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-13
-
2022-07-18
Dose 2 — Pfizer-BioNTech
- 2022-07-18
- 2022-07-19
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-27
- 2022-08-01
-
2022-08-15
Survey response — day 28, dose 2, under 3MedDRA: Cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · 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: In the past week, (b)(6) had fever, cough, congestion. COVID test at physician's office was negative. Multiple at home tests negative for COVID.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-15
Report sent to call center — day 28, dose 2, under 3Be 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)
- 2022-08-16
-
2022-08-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-22
- 2022-08-29
-
2022-09-12
Dose 3 — Pfizer-BioNTech
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-26
-
2022-10-03
Survey response — day 21, dose 3, under 3MedDRA: Body temperature increased, Cough, Nasal congestion, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend schoolFree text: 10/1-10/3 upper respiratory illness with low fever ~99.5, nasal congestion, mild cough. Not related to COVID vaccination and not thought to be COVID-19.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-17
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Pfizer-BioNTech | No |
| 2 | 2022-07-18 | Pfizer-BioNTech | No |
| 3 | 2022-09-12 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: In the past week, (b)(6) had fever, cough, congestion. COVID test at physician's office was negative. Multiple at home tests negative for COVID.
redacted (b)(6)
Release 12 (Under 3) — day 21, dose 3, under 3
Symptoms: 10/1-10/3 upper respiratory illness with low fever ~99.5, nasal congestion, mild cough. Not related to COVID vaccination and not thought to be COVID-19.
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release