JAG-24713-91573
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 194 / PA
- Registered
- 2022-03-10
- Relationship
- Child or adolescent in my care
- Guardian
- ZYM-24647-61632
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-03-05
Dose 1 — Pfizer-BioNTech
-
2022-03-10
Registered in v-safe
-
2022-03-10
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Vomiting, Abdominal painAdult check-in
-
2022-03-11
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
- 2022-03-14
- 2022-03-20
-
2022-03-26
Dose 2 — Pfizer-BioNTech
-
2022-03-26
Health check-in — day 0, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2022-03-27
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tirednessFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
-
2022-03-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Fever · Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2022-03-28
Report sent to call center — days 1–6 daily, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-29
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Fever · Chills, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-03-29
-
2022-03-30
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Runny nose, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-11
-
2022-04-16
Survey response — day 21, dose 2, dependentMedDRA: Cough, Nasopharyngitis — Feeling: FairFree text: Cold/coughMedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-07
- 2022-06-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-03-05 | Pfizer-BioNTech | No |
| 2 | 2022-03-26 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-28 | Successful 2022-03-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 11 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Insomnia
Systemic reaction (other): Runny nose, cough
Release 11 — day 21, dose 2, dependent
Symptoms: Cold/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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release