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HTM-29122-61473

3 vaccinations 2 coded responses 10 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
851 / AZ
Registered
2022-09-01
Relationship
Child or adolescent in my care
Guardian
Z48-13177-73820
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-24
    Dose 1 — Pfizer-BioNTech
  2. 2022-07-15
    Dose 2 — Pfizer-BioNTech
  3. 2022-09-01
    Registered in v-safe
  4. 2022-09-01
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  5. 2022-09-09
    Dose 3 — Pfizer-BioNTech
  6. 2022-09-10
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-09-11
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-09-16
    Survey response — day 7, dose 3, dependent
    MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work or attend school
    Free text: Cold-like congestion & cough
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-09-25
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2022-10-01
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  11. 2022-10-07
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-10-14
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-10-21
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2023-03-10
    Survey response — 6 months, dose 3, dependent
    MedDRA: Diarrhoea, Faeces soft, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  15. 2023-03-10
    Report sent to call center — 6 months, dose 3, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2023-03-13
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Pfizer-BioNTech No
22022-07-15Pfizer-BioNTech No
32022-09-09Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2023-03-10 Successful
2023-03-13
Completed over the phone

Free text

Release 12 — day 7, dose 3, dependent

2022-09-16

Systemic reaction (other): Cold-like congestion & cough

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

FieldPreferred term2021-092023-042024-11
SDDiarrhoea · · ✓
SDFaeces soft · · ✓
SDOffice visit · · ✓
SROCough · · ✓
SRONasopharyngitis · · ✓
SRORespiratory tract congestion · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release