JNR-26293-25398
3 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 500 / IA
- Registered
- 2021-11-30
- Relationship
- Child or adolescent in my care
- Guardian
- 4RZ-33215-58263
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-11-30
Registered in v-safe
- 2021-11-30
-
2021-12-01
Dose 2 — Pfizer-BioNTech
- 2021-12-01
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
-
2021-12-08
Survey response — day 7, dose 2, dependentMedDRA: Ear swelling, Eye discharge, Eye infection, Sinusitis — Feeling: Poor · Fever · Be unable to work or attend schoolFree text: Sinus infection, with bulging ear drums, and gooey infected eyes.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-14
- 2022-03-02
-
2022-06-01
Survey response — 6 months, dose 2, dependentMedDRA: Pre-existing disease, Self-medication — 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 visitFree text: Long term GI impactions, requiring long term use of Laxatives daily.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-01
Report sent to call center — 6 months, dose 2, 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)
-
2022-06-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-08
Dose 3 — Pfizer-BioNTech
- 2022-09-12
- 2022-09-13
- 2022-09-14
- 2022-09-22
-
2022-09-29
Survey response — day 21, dose 3, dependentMedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a head cold this week.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-13
- 2022-10-20
- 2022-12-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
| 3 | 2022-09-08 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 7, dose 2, dependent
Systemic reaction (other): Sinus infection, with bulging ear drums, and gooey infected eyes.
Release 11 — 6 months, dose 2, dependent
Symptoms: Long term GI impactions, requiring long term use of Laxatives daily.
Release 12 — day 21, dose 3, dependent
Symptoms: Had a head cold this week.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Ear swelling | · | · | ✓ |
| SRO | Eye discharge | · | · | ✓ |
| SRO | Eye infection | · | · | ✓ |
| SRO | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release