HST-28401-88028
2 vaccinations
2 coded responses
21 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 809 / CO
- Registered
- 2022-07-05
- Relationship
- Child or adolescent in my care
- Guardian
- 45C-22530-82491
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-03
Dose 1 — Pfizer-BioNTech
-
2022-07-05
Registered in v-safe
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-19
-
2022-07-24
Dose 2 — Pfizer-BioNTech
- 2022-07-24
-
2022-07-25
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2022-07-26
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-07-27
- 2022-07-29
- 2022-07-30
- 2022-07-31
- 2022-08-07
- 2022-08-14
-
2022-08-21
Survey response — day 28, dose 2, dependentMedDRA: Upper respiratory tract infection — Feeling: Good · Be unable to work or attend schoolFree text: URIMedDRA releases: 2024-11 · check-in free text available
- 2022-08-28
- 2022-09-04
-
2022-10-23
Survey response — 3 months, dose 2, dependentMedDRA: COVID-19, Pre-existing disease — 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 · Emergency room or emergency department visitFree text: Chronic colds/positive for CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Report sent to call center — 3 months, 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 prEmergency room or emergency department visit · 1 call case(s)
-
2022-10-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-03 | Pfizer-BioNTech | No |
| 2 | 2022-07-24 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-23 | Successful 2022-10-25 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 28, dose 2, dependent
Symptoms: URI
Release 12 — 3 months, dose 2, dependent
Symptoms: Chronic colds/positive for 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 | Pre-existing disease | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release