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KAM-18419-43481

4 vaccinations 2 coded responses 21 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
05-11
ZIP prefix
945 / CA
Registered
2022-06-15
Relationship
Child or adolescent in my care
Guardian
6C3-22783-04472
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-05
    Dose 1 — Pfizer-BioNTech
    Co-administered: Flu
  2. 2021-12-01
    Dose 2 — Pfizer-BioNTech
  3. 2022-06-03
    Dose 3 — Pfizer-BioNTech
  4. 2022-06-15
    Registered in v-safe
  5. 2022-06-15
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-06-20
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  7. 2022-06-24
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  8. 2022-07-01
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  9. 2022-07-08
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2022-07-15
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  11. 2022-09-02
  12. 2022-11-09
    Dose 4 — Moderna
  13. 2022-11-10
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Diarrhea
    Adult check-in
  14. 2022-11-11
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-11-12
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-11-13
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-11-14
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-11-15
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  19. 2022-11-16
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  20. 2022-11-23
    Survey response — day 14, dose 4, dependent
    MedDRA: Oropharyngeal pain, Sinus congestion — Feeling: Good
    Free text: Mild sore throat and sinus congestion
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-11-30
    Survey response — day 21, dose 4, dependent
    MedDRA: Hand-foot-and-mouth disease — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Hand foot and mouth disease
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-11-30
    Report sent to call center — day 21, dose 4, 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)
  23. 2022-12-01
  24. 2022-12-01
    Call successful
    Does not wish to fill out VAERS report
  25. 2022-12-07
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  26. 2022-12-14
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  27. 2022-12-21
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  28. 2023-02-08
  29. 2023-05-10

Vaccinations

DoseDateManufacturerCo-administered
12021-11-05Pfizer-BioNTech Flu
22021-12-01Pfizer-BioNTech No
32022-06-03Pfizer-BioNTech No
42022-11-09Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-11-30 Successful
2022-12-01
Does not wish to fill out VAERS report

Free text

Release 12 — day 14, dose 4, dependent

2022-11-23

Symptoms: Mild sore throat and sinus congestion

Release 12 — day 21, dose 4, dependent

2022-11-30

Symptoms: Hand foot and mouth disease

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
SDHand-foot-and-mouth disease · · ✓
SDOropharyngeal pain · · ✓
SDSinus congestion · · ✓

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