L76-53516-13372
3 vaccinations
4 coded responses
36 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 544 / WI
- Registered
- 2022-07-05
- Relationship
- Child or adolescent in my care
- Guardian
- ZNT-49690-95086
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-05
Registered in v-safe
-
2022-07-05
Dose 1 — Pfizer-BioNTech
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-19
-
2022-07-26
Dose 2 — Pfizer-BioNTech
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-10
- 2022-08-17
- 2022-08-23
- 2022-08-30
- 2022-09-06
-
2022-09-20
Dose 3 — Pfizer-BioNTech
- 2022-09-20
-
2022-09-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-09-22
-
2022-09-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-10-04
-
2022-10-11
Survey response — day 21, dose 3, dependentMedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Runny nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
-
2022-10-25
Survey response — day 35, dose 3, dependentMedDRA: Ear infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Report sent to call center — day 35, dose 3, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-01
-
2022-12-20
Survey response — 3 months, dose 3, dependentMedDRA: Cough, Decreased appetite, Fatigue, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Fever of 102 or higher for 3 days in a row followed by fever close to 102 at night and normal during the day. Cough, congestion, loss of appetite, fatigue. Tested for covid at home about 5 days after symptoms began and test showed negative.MedDRA releases: 2024-11 · check-in free text available
-
2023-03-21
Survey response — 6 months, dose 3, dependentMedDRA: SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-05 | Pfizer-BioNTech | No |
| 2 | 2022-07-26 | Pfizer-BioNTech | No |
| 3 | 2022-09-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-25 | Successful 2022-10-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 21, dose 3, dependent
Symptoms: Runny nose, cough
Release 12 — day 35, dose 3, dependent
Symptoms: Ear infection
Release 12 — 3 months, dose 3, dependent
Symptoms: Fever of 102 or higher for 3 days in a row followed by fever close to 102 at night and normal during the day. Cough, congestion, loss of appetite, fatigue. Tested for covid at home about 5 days after symptoms began and test showed negative.
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 | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release