GJ4-14592-80685
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 553 / MN
- Registered
- 2021-11-18
- Relationship
- Child or adolescent in my care
- Guardian
- LWX-21972-39422
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Dose 1 — Pfizer-BioNTech
-
2021-11-18
Registered in v-safe
- 2021-11-18
- 2021-11-25
- 2021-12-04
-
2021-12-08
Dose 2 — Pfizer-BioNTech
- 2021-12-08
-
2021-12-09
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-12-11
- 2021-12-12
-
2021-12-13
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Migraine, Vomiting — Feeling: Poor · Headache · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2021-12-14
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Headache, Vomiting — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-12-17
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-21
- 2022-03-09
-
2022-06-08
Survey response — 6 month, dose 2, dependentMedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-12-10
Survey response — 12 month, dose 2, dependentMedDRA: COVID-19, Croup infectious, Influenza, Office visit — 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 professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-12-10
Report sent to call center — 12 month, 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 pr1 call case(s)
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-10 | Unsuccessful |
Free text
Release 10
Systemic reaction (other): Vomiting - migraine
Systemic reaction (other): Headache and vomiting yesterday
Release 11
Symptoms: Headaches
Release 12
Symptoms: Influenza A and croup. He also had Covid in July.
Healthcare visit (other): Office visit
Free-text releases are not linked to a specific 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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Migraine | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release