JJB-57381-37800
1 vaccination
3 coded responses
8 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 761 / TX
- Registered
- 2022-10-03
- Relationship
- Child or adolescent in my care
- Guardian
- 2YU-87313-44333
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-30
Dose 1 — Pfizer-BioNTech
-
2022-10-03
Registered in v-safe
-
2022-10-03
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Insomnia — Feeling: GoodFree text: Difficulty sleepingMedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-07
- 2022-10-14
- 2022-10-23
- 2022-10-30
-
2023-01-01
Survey response — 3 months, dose 1, dependentMedDRA: Cough, Influenza A virus test positive, Pyrexia, Streptococcus test positive — Feeling: Good · 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 visitMedDRA releases: 2024-11
-
2023-01-01
Report sent to call center — 3 months, dose 1, dependentBe 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)
- 2023-01-03
-
2023-03-31
Survey response — 6 months, dose 1, dependentMedDRA: Vomiting — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-01 | Unsuccessful |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Difficulty sleeping
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 | Influenza A virus test positive | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Streptococcus test positive | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release