FWS-60086-33534
1 vaccination
3 coded responses
6 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 207 / MD
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- 29C-12844-59186
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Pfizer-BioNTech
-
2022-06-29
Registered in v-safe
- 2022-06-29
- 2022-07-01
-
2022-07-11
Survey response — day 14, dose 1, under 3MedDRA: Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Runny nose starting Saturday July 9. Another member of household tested positive on Monday July 11.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-15
Survey response — day 21, dose 1, under 3MedDRA: Exposure to SARS-CoV-2, Malaise — Feeling: Fair · Be unable to work or attend schoolFree text: COVID symptoms, one member of household tested positive on 7/11/22MedDRA releases: 2024-11 · check-in free text available
-
2022-07-24
Survey response — day 28, dose 1, under 3MedDRA: Fall, Head injury, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fell and bumped head - went to urgent care and they said she was fineMedDRA releases: 2024-11 · check-in free text available
-
2022-07-24
Report sent to call center — day 28, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-25
-
2022-07-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-24 | Successful 2022-07-25 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Runny nose starting Saturday July 9. Another member of household tested positive on Monday July 11.
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: COVID symptoms, one member of household tested positive on 7/11/22
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Fell and bumped head - went to urgent care and they said she was fine
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Head injury | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release