J4P-19895-99054
3 vaccinations
4 coded responses
7 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 010 / MA
- Registered
- 2022-12-06
- Relationship
- Child or adolescent in my care
- Guardian
- 4E4-22753-40432
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-22
Dose 1 — Pfizer-BioNTechCo-administered: Hepatitis B:Hib:Pneumonia:Rotavirus:Tetanus
-
2022-09-21
Dose 2 — Pfizer-BioNTech
-
2022-11-21
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-12-06
Registered in v-safe
-
2022-12-06
Survey response — day 14, dose 3, under 3MedDRA: Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever since 12/2/22MedDRA releases: 2024-11 · check-in free text available
- 2022-12-12
- 2022-12-19
-
2022-12-26
Survey response — day 35, dose 3, under 3MedDRA: Cough, Ear infection, Emergency care, Malaise, Office visit, Pneumonia, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Cough for almost 2 months, runny nose, fevers for 1 month, just diagnosed with pneumonia and ear infection · Healthcare visit (other): Emergent sick visit with PCPMedDRA releases: 2024-11 · check-in free text available
-
2022-12-26
Report sent to call center — day 35, dose 3, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-28
-
2023-01-02
Survey response — day 42, dose 3, under 3MedDRA: Ear infection, Pneumonia, Pyrexia — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-02
Report sent to call center — day 42, dose 3, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-03
- 2023-01-03
- 2023-01-04
- 2023-01-04
-
2023-01-04
Call successfulParticipant prefers to complete VAERS report online
-
2023-01-04
Call successfulParticipant prefers to complete VAERS report online
-
2023-02-21
Survey response — 3 months, dose 3, under 3MedDRA: Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
- 2023-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-22 | Pfizer-BioNTech | Hepatitis B:Hib:Pneumonia:Rotavirus:Tetanus |
| 2 | 2022-09-21 | Pfizer-BioNTech | No |
| 3 | 2022-11-21 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-26 | Successful 2023-01-04 |
Participant prefers to complete VAERS report online |
| 2023-01-02 | Successful 2023-01-04 |
Participant prefers to complete VAERS report online |
Free text
Release 12 (Under 3) — day 14, dose 3, under 3
Symptoms: Fever since 12/2/22
Release 12 (Under 3) — day 35, dose 3, under 3
Symptoms: Cough for almost 2 months, runny nose, fevers for 1 month, just diagnosed with pneumonia and ear infection
Healthcare visit (other): Emergent sick visit with PCP
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 |
|---|---|---|---|---|
| HCVO | Emergency care | · | · | ✓ |
| HCVO | Malaise | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release