KWN-22525-54620
4 vaccinations
1 coded response
19 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 300 / GA
- Registered
- 2021-11-07
- Relationship
- Child or adolescent in my care
- Guardian
- Q8P-13661-96991
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-05
Dose 1 — Pfizer-BioNTech
-
2021-11-07
Registered in v-safe
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-11-28
Dose 2 — Pfizer-BioNTech
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-02-27
- 2022-05-31
-
2022-07-12
Dose 3 — Pfizer-BioNTech
-
2022-11-28
Survey response — 12 months, dose 2, dependentMedDRA: Syncope — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Had a syncopal episodeMedDRA releases: 2024-11 · check-in free text available
-
2022-11-28
Report sent to call center — 12 months, dose 2, dependentGet care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-11-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-06
Dose 4 — Pfizer-BioNTech
- 2023-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | No |
| 2 | 2021-11-28 | Pfizer-BioNTech | No |
| 3 | 2022-07-12 | Pfizer-BioNTech | No |
| 4 | 2022-12-06 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 12 — 12 months, dose 2, dependent
Symptoms: Had a syncopal episode
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 | Syncope | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release