JQD-32113-69788
3 vaccinations
5 coded responses
35 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 782 / TX
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- 25M-13932-17150
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-14
Registered in v-safe
-
2021-11-14
Dose 1 — Pfizer-BioNTech
-
2021-11-15
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough, Sneezing, Throat irritation — Feeling: GoodFree text: Itchy throat, sneezing, coughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough, SARS-CoV-2 test — Feeling: Fair · Abdominal pain · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Cough · Healthcare visit (other): Covid testingMedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Report sent to call center — days 1–6 daily, dose 1, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-18
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough — Feeling: Good · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-20
-
2021-11-23
Survey response — day 7, dose 1, dependentMedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-12-07
-
2021-12-09
Dose 2 — Pfizer-BioNTech
- 2021-12-09
-
2021-12-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-12-11
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-12-12
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
-
2021-12-13
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-15
- 2022-01-21
-
2022-03-10
Survey response — 3 months, dose 2, dependentMedDRA: Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 24 hr feverMedDRA releases: 2024-11 · check-in free text available
- 2022-06-09
-
2022-07-05
Dose 3 — Pfizer-BioNTech
- 2022-07-05
-
2022-07-06
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-07-07
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-10-04
- 2023-01-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-09 | Pfizer-BioNTech | No |
| 3 | 2022-07-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Itchy throat, sneezing, cough
Systemic reaction (other): Cough
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Cough
Release 11 — 3 months, dose 2, dependent
Symptoms: 24 hr 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 |
|---|---|---|---|---|
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release