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L32-11020-49400

3 vaccinations 5 coded responses 25 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
117 / NY
Registered
2022-07-06
Relationship
Child or adolescent in my care
Guardian
DBA-12210-90685
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-28
    Dose 1 — Pfizer-BioNTech
  2. 2022-07-06
    Registered in v-safe
  3. 2022-07-06
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · Site: Pain · Sleepiness
    Under 3 check-in
  4. 2022-07-12
    Survey response — day 14, dose 1, under 3
    MedDRA: Decreased appetite — Feeling: Good
    Free text: She seems to be eating less. I don't know if that's related, but I wanted to share it anyway. She barely eats dinner (doesn't like dinner time anymore), and doesn't eat as much as she did during her other meals. Not sure if it's just a phase.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-07-19
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  6. 2022-07-20
    Dose 2 — Pfizer-BioNTech
  7. 2022-07-30
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · Site: Pain · Fever · Sleepiness
    Under 3 check-in
  8. 2022-08-03
    Survey response — day 14, dose 2, under 3
    MedDRA: Nasopharyngitis, Office visit, Pneumonia, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: She caught a cold from a 6 year old girl and it turned into pneumonia. (b)(6) experienced symptoms 7/27/22. By Monday 8/1, the pediatrician diagnosed her with pneumonia. She is on antibiotics and Tylenol. Fever spiked to 106. It's finally staying @ 100
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-08-03
    Report sent to call center — day 14, dose 2, under 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2022-08-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  11. 2022-08-10
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-08-17
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-08-24
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-08-31
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-10-19
    Survey response — 3 months, dose 2, under 3
    MedDRA: Influenza virus test negative, Productive cough, SARS-CoV-2 test negative, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: (b)(6) is currently awaiting test results for whooping cough. She's has a wet cough with whooping and hacking, vomiting. Tested negative for covid and flu.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-10-19
    Report sent to call center — 3 months, dose 2, under 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  17. 2022-10-20
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  18. 2022-12-20
    Dose 3 — Pfizer-BioNTech
  19. 2022-12-20
    Survey response — day 0, dose 3, under 3
    MedDRA: Pruritus — Feeling: Good · Sleepiness
    Free text: A little itchiness on her belly and chest but it resolved within the first hour.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-12-21
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  21. 2022-12-22
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Body temperature decreased, Chills — Feeling: Good · Sleepiness
    Free text: Chills in the middle of the night; shivering. Temperature measured at 96.8
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-12-23
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  23. 2022-12-24
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  24. 2022-12-25
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  25. 2022-12-26
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  26. 2022-12-27
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  27. 2023-01-03
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  28. 2023-01-10
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  29. 2023-01-17
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  30. 2023-01-24
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  31. 2023-01-31
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  32. 2023-03-21
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  33. 2023-06-20
    Health check-in — 6 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Pfizer-BioNTech No
22022-07-20Pfizer-BioNTech No
32022-12-20Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-12

Symptoms: She seems to be eating less. I don't know if that's related, but I wanted to share it anyway. She barely eats dinner (doesn't like dinner time anymore), and doesn't eat as much as she did during her other meals. Not sure if it's just a phase.

Release 12 (Under 3) — day 14, dose 2, under 3

2022-08-03

Symptoms: She caught a cold from a 6 year old girl and it turned into pneumonia. (b)(6) experienced symptoms 7/27/22. By Monday 8/1, the pediatrician diagnosed her with pneumonia. She is on antibiotics and Tylenol. Fever spiked to 106. It's finally staying @ 100 cut off by CDC
redacted (b)(6)

Release 12 (Under 3) — 3 months, dose 2, under 3

2022-10-19

Symptoms: (b)(6) is currently awaiting test results for whooping cough. She's has a wet cough with whooping and hacking, vomiting. Tested negative for covid and flu.
redacted (b)(6)

Release 12 (Under 3) — day 0, dose 3, under 3

2022-12-20

Systemic reaction (other): A little itchiness on her belly and chest but it resolved within the first hour.

Release 12 (Under 3) — days 1–6 daily, dose 3, under 3

2022-12-22

Systemic reaction (other): Chills in the middle of the night; shivering. Temperature measured at 96.8

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
SDDecreased appetite · · ✓
SDInfluenza virus test negative · · ✓
SDNasopharyngitis · · ✓
SDOffice visit · · ✓
SDPneumonia · · ✓
SDProductive cough · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SDVomiting · · ✓
SROBody temperature decreased · · ✓
SROChills · · ✓
SROPruritus · · ✓

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