J5X-17243-42266
3 vaccinations
2 coded responses
6 check-ins
0 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 553 / MN
- Registered
- 2023-04-11
- Relationship
- Child or adolescent in my care
- Guardian
- 6HT-96547-83163
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-01-10
Dose 1 — Pfizer-BioNTechCo-administered: Flu:Hepatitis B:Pneumonia:Rotavirus:Tetanus
-
2023-02-07
Dose 2 — Pfizer-BioNTechCo-administered: Flu
-
2023-04-11
Registered in v-safe
-
2023-04-11
Dose 3 — Pfizer-BioNTech
- 2023-04-11
-
2023-04-12
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Fair · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
-
2023-04-13
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Fair · Sleepiness, Irritability/cryingUnder 3 check-in
-
2023-04-14
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Fair · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
-
2023-04-17
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Pneumonia — Feeling: Fair · Fever · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-17
Report sent to call center — days 1–6 daily, dose 3, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-04-18
Call successfulDoes not wish to fill out VAERS report
-
2023-05-11
Survey response — day 28, dose 3, under 3MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-05-11
Report sent to call center — day 28, dose 3, under 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-01-10 | Pfizer-BioNTech | Flu:Hepatitis B:Pneumonia:Rotavirus:Tetanus |
| 2 | 2023-02-07 | Pfizer-BioNTech | Flu |
| 3 | 2023-04-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-17 | Successful 2023-04-18 |
Does not wish to fill out VAERS report |
| 2023-05-11 | Unsuccessful |
Free text
None.
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 | Pre-existing disease | · | · | ✓ |
| SRO | Pneumonia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release