JFT-12809-84045
1 vaccination
4 coded responses
9 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 294 / SC
- Registered
- 2021-11-06
- Relationship
- Child or adolescent in my care
- Guardian
- 75X-25404-51717
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-05
Dose 1 — Pfizer-BioNTech
-
2021-11-06
Registered in v-safe
-
2021-11-06
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-08
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-09
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Productive cough, Secretion discharge — Feeling: GoodFree text: Cough and mucus-yMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
-
2021-11-19
Survey response — day 14, dose 1, dependentMedDRA: Arthralgia, Gait disturbance — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Joint pain, knees and ankles- difficulty walking normally and runningMedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2022-02-05
-
2022-11-05
Survey response — 12 months, dose 1, dependentMedDRA: Headache, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headache, congestion, feverMedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Report sent to call center — 12 months, dose 1, 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)
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-05 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Cough
Systemic reaction (other): Cough and mucus-y
Release 10 — day 14, dose 1, dependent
Symptoms: Joint pain, knees and ankles- difficulty walking normally and running
Release 12 — 12 months, dose 1, dependent
Symptoms: Headache, congestion, fever
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 | Arthralgia | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Secretion discharge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release