LRD-15013-86833

3 vaccinations 7 coded responses 28 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 221 / VA
Registered: 2022-07-28

Relationship: Child or adolescent in my care
Guardian: BJQ-14173-78375
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-07-28
Registered in v-safe
2022-07-28
Dose 1 — Pfizer-BioNTech
Co-administered: Hepatitis B:Hib:Pneumonia:Polio:Rotavirus:Tetanus
2022-07-28
Health check-in — day 0, dose 1, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-07-29
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-31
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Irritability/crying

Under 3 check-in
2022-08-01
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-08-02
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-08-03
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Irritability/crying

Under 3 check-in
2022-08-04
Health check-in — day 7, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-08-12
Survey response — day 14, dose 1, under 3
MedDRA: Blister, Cough, Hand-foot-and-mouth disease, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hand foot and mouth disease (blisters), cough, runny nose, fever

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
Survey response — day 21, dose 1, under 3
MedDRA: Conjunctivitis, Ear infection — Feeling: Fair · Be unable to work or attend school, 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: Ear infection and pink eye

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
Report sent to call center — day 21, dose 1, under 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-23
Dose 2 — Pfizer-BioNTech
2022-08-23
Health check-in — day 0, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-24
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-25
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-26
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-27
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-28
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-29
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Eye discharge — Feeling: Fair · Fever · Irritability/crying

Free text: Goopy eyes

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Survey response — day 7, dose 2, under 3
MedDRA: Arthropod bite, Blister — Feeling: Good · Fever · Irritability/crying, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Two blisters that appear to be from bug bites on his right thigh

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Report sent to call center — day 7, dose 2, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-06
Health check-in — day 14, dose 2, under 3
Feeling: Fair

Under 3 check-in
2022-09-20
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-27
Survey response — day 35, dose 2, under 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-10-20
Dose 3 — Pfizer-BioNTech
Co-administered: Flu:Hepatitis B
2022-10-28
Survey response — day 7, dose 3, under 3
MedDRA: Ear infection — Feeling: Good

Free text: Developed ear infection 3 days after vaccination.

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Health check-in — day 14, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-11-10
Health check-in — day 21, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-11-17
Health check-in — day 28, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-11-26
Health check-in — day 35, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-12-01
Health check-in — day 42, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-01-19
Survey response — 3 months, dose 3, under 3
MedDRA: COVID-19, Ear infection, Impetigo — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-19
Report sent to call center — 3 months, dose 3, under 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-20
Call 1 — Left Voicemail
2023-01-20
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-07-28	Pfizer-BioNTech	Hepatitis B:Hib:Pneumonia:Polio:Rotavirus:Tetanus
2	2022-08-23	Pfizer-BioNTech	No
3	2022-10-20	Pfizer-BioNTech	Flu:Hepatitis B

Call center

3 call center cases

3 successful

See the call center timeline

Free text

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

2022-08-12

Symptoms: Hand foot and mouth disease (blisters), cough, runny nose, fever

Release 12 (Under 3) — day 21, dose 1, under 3

2022-08-18

Symptoms: Ear infection and pink eye

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-08-29

Systemic reaction (other): Goopy eyes

Release 12 (Under 3) — day 7, dose 2, under 3

2022-08-30

Systemic reaction (other): Two blisters that appear to be from bug bites on his right thigh

Release 12 (Under 3) — day 35, dose 2, under 3

2022-09-27

Symptoms: Runny nose

Release 12 (Under 3) — day 7, dose 3, under 3

2022-10-28

Systemic reaction (other): Developed ear infection 3 days after vaccination.

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	Blister	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Ear infection	·	·	✓
SD	Hand-foot-and-mouth disease	·	·	✓
SD	Impetigo	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Arthropod bite	·	·	✓
SRO	Blister	·	·	✓
SRO	Ear infection	·	·	✓
SRO	Eye discharge	·	·	✓

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