FXN-30851-64604
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 017 / MA
- Registered
- 2021-12-05
- Relationship
- Child or adolescent in my care
- Guardian
- Y47-16670-16670
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-13
Dose 1 — Pfizer-BioNTech
-
2021-12-04
Dose 2 — Pfizer-BioNTech
-
2021-12-05
Registered in v-safe
-
2021-12-05
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Muscle or body achesAdult check-in
-
2021-12-06
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Swelling of the L axilla and painMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
-
2021-12-18
Survey response — day 14, dose 2, dependentMedDRA: Cough — 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 · Telehealth, virtual health, or email health consultationFree text: Hacking croup coughMedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Report sent to call center — day 14, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-22
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-03-05
-
2022-06-04
Survey response — 6 months, dose 2, dependentMedDRA: Nasopharyngitis — Feeling: FairFree text: She has a coldMedDRA releases: 2024-11 · check-in free text available
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-13 | Pfizer-BioNTech | No |
| 2 | 2021-12-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-18 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Swelling of the L axilla and pain
Release 10 — day 14, dose 2, dependent
Symptoms: Hacking croup cough
Release 11 — 6 months, dose 2, dependent
Symptoms: She has a cold
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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release