JKS-13783-92541
3 vaccinations
2 coded responses
11 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 207 / MD
- Registered
- 2022-10-10
- Relationship
- Child or adolescent in my care
- Guardian
- VZA-30544-35018
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-22
Dose 1 — Pfizer-BioNTech
-
2022-08-12
Dose 2 — Pfizer-BioNTech
-
2022-10-07
Dose 3 — Pfizer-BioNTech
-
2022-10-10
Registered in v-safe
- 2022-10-10
- 2022-10-12
- 2022-10-13
- 2022-10-16
-
2022-10-21
Survey response — day 14, dose 3, under 3MedDRA: Cough, Croup infectious, Office visit, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: (b)(6) has Croup and has been evaluated by the pediatrician. Her cough got worse and she vomited so she will be seeing the pediatrician again today to make sure she's ok. · Healthcare visit (other): Pediatrician in person appt.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Report sent to call center — day 14, dose 3, under 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-24
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
-
2023-04-07
Survey response — 6 months, dose 3, under 3MedDRA: Office visit, Pneumonia — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-07
Report sent to call center — 6 months, dose 3, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-10
- 2023-04-10
-
2023-04-10
Call successfulCompleted over the phone
-
2023-04-10
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-22 | Pfizer-BioNTech | No |
| 2 | 2022-08-12 | Pfizer-BioNTech | No |
| 3 | 2022-10-07 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-21 | Successful 2023-04-10 |
Completed over the phone |
| 2023-04-07 | Successful 2023-04-10 |
Completed over the phone |
Free text
Release 12 (Under 3) — day 14, dose 3, under 3
Symptoms: (b)(6) has Croup and has been evaluated by the pediatrician. Her cough got worse and she vomited so she will be seeing the pediatrician again today to make sure she's ok.
Healthcare visit (other): Pediatrician in person appt.
redacted (b)(6)
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release