LL8-93323-49775
1 vaccination
5 coded responses
11 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 684 / NE
- Registered
- 2021-12-30
- Relationship
- Child or adolescent in my care
- Guardian
- WZD-17768-95586
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-30
Registered in v-safe
-
2021-12-30
Dose 1 — Pfizer-BioNTech
- 2021-12-30
-
2022-01-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-03
- 2022-01-05
- 2022-01-08
-
2022-01-13
Survey response — day 14, dose 1, dependentMedDRA: Respiratory tract congestion — Feeling: FairFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-20
Survey response — day 21, dose 1, dependentMedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-01-20
Report sent to call center — day 21, dose 1, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-23
-
2022-01-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-02-05
Survey response — day 35, dose 1, dependentMedDRA: Ear infection — Feeling: Fair · Be unable to work or attend schoolFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-02-10
-
2022-04-02
Survey response — 3 months, dose 1, dependentMedDRA: Ear infection, Malaise — Feeling: Good · Be unable to work or attend schoolFree text: Symptoms of COVID and and ear infection twiceMedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Survey response — 12 months, dose 1, dependentMedDRA: Parainfluenzae virus infection, Pneumonia — Feeling: Good · Be unable to work or attend schoolFree text: Parainfluenza and pneumoniaMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-20 | Successful 2022-01-24 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Congestion
Release 10 — day 21, dose 1, dependent
Symptoms: Covid
Release 11 — day 35, dose 1, dependent
Symptoms: Ear infection
Release 11 — 3 months, dose 1, dependent
Symptoms: Symptoms of COVID and and ear infection twice
Release 12 — 12 months, dose 1, dependent
Symptoms: Parainfluenza and pneumonia
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 | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Parainfluenzae virus infection | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release