K4K-68763-43496
1 vaccination
1 coded response
3 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 991 / WA
- Registered
- 2023-01-02
- Relationship
- Child or adolescent in my care
- Guardian
- 7MD-45920-76074
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-11-28
Dose 1 — Pfizer-BioNTechCo-administered: Flu:Hepatitis A:Hib:Rotavirus
-
2023-01-02
Registered in v-safe
-
2023-01-02
Survey response — day 35, dose 1, under 3MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-01-02
Report sent to call center — day 35, dose 1, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2023-01-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-02-27
- 2023-05-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-11-28 | Pfizer-BioNTech | Flu:Hepatitis A:Hib:Rotavirus |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-02 | Successful 2023-01-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
None.
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 | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release