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JJM-21109-38339

2 vaccinations 4 coded responses 23 check-ins 3 free-text entries 2 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
038 / NH
Registered
2022-01-22
Relationship
Child or adolescent in my care
Guardian
9QF-60501-73794
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-01-21
    Dose 1 — Pfizer-BioNTech
  2. 2022-01-22
    Registered in v-safe
  3. 2022-01-22
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-01-23
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Redness · Headache
    Adult check-in
  5. 2022-01-24
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-01-25
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-01-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-01-28
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-02-04
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-02-11
    Dose 2 — Pfizer-BioNTech
  11. 2022-02-11
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-02-12
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-02-13
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-02-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-02-15
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-02-16
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-02-17
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-02-18
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2022-02-25
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-03-04
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-03-11
    Survey response — day 28, dose 2, dependent
    MedDRA: Cough, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good
    Free text: Runny nose and mild cough for 2-3 days. Covid antigen test negative.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-03-18
    Survey response — day 35, dose 2, dependent
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school
    Free text: Runny nose, congestion, cough. Covid antigen negative on day 3.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-03-25
    Survey response — day 42, dose 2, dependent
    MedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ear infection, improving with antibiotics
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-03-25
    Report sent to call center — day 42, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  25. 2022-03-29
  26. 2022-03-30
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  27. 2022-05-13
  28. 2022-08-12
  29. 2023-02-13
    Survey response — 12 months, dose 2, dependent
    MedDRA: Pharyngitis streptococcal, Viral infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  30. 2023-02-13
    Report sent to call center — 12 months, dose 2, dependent
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2023-02-14
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12022-01-21Pfizer-BioNTech No
22022-02-11Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-03-25 Successful
2022-03-30
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-02-13 Successful
2023-02-14
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 11 — day 28, dose 2, dependent

2022-03-11

Symptoms: Runny nose and mild cough for 2-3 days. Covid antigen test negative.

Release 11 — day 35, dose 2, dependent

2022-03-18

Symptoms: Runny nose, congestion, cough. Covid antigen negative on day 3.

Release 11 — day 42, dose 2, dependent

2022-03-25

Symptoms: Ear infection, improving with antibiotics

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDEar infection · · ✓
SDPharyngitis streptococcal · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDViral infection · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release