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
-
2022-06-24
Dose 1 — Pfizer-BioNTech
-
2022-07-15
Dose 2 — Pfizer-BioNTech
-
2022-09-01
Registered in v-safe
- 2022-09-01
-
2022-09-09
Dose 3 — Pfizer-BioNTech
- 2022-09-10
- 2022-09-11
-
2022-09-16
Survey response — day 7, dose 3, dependentMedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work or attend schoolFree text: Cold-like congestion & coughMedDRA releases: 2024-11 · check-in free text available
- 2022-09-25
- 2022-10-01
- 2022-10-07
- 2022-10-14
- 2022-10-21
-
2023-03-10
Survey response — 6 months, dose 3, dependentMedDRA: Diarrhoea, Faeces soft, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-10
Report sent to call center — 6 months, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-03-13
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Pfizer-BioNTech | No |
| 2 | 2022-07-15 | Pfizer-BioNTech | No |
| 3 | 2022-09-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-10 | Successful 2023-03-13 |
Completed over the phone |
Free text
Release 12 — day 7, dose 3, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Diarrhoea | · | · | ✓ |
| SD | Faeces soft | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release