LSJ-27533-35249
3 vaccinations
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 640 / MO
- Registered
- 2022-02-06
- Relationship
- Child or adolescent in my care
- Guardian
- XUQ-24056-15837
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-30
Dose 1 — Pfizer-BioNTech
-
2021-05-22
Dose 2 — Pfizer-BioNTech
-
2021-12-10
Dose 3 — Pfizer-BioNTech
-
2022-02-06
Registered in v-safe
-
2022-03-13
Survey response — 3 month, dose 3, dependentMedDRA: Myalgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-03-13
Report sent to call center — 3 month, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-23
-
2022-06-10
Survey response — 6 month, dose 3, dependentMedDRA: Cough, Sinus disorder, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-06-10
Report sent to call center — 6 month, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-13
- 2022-06-13
- 2022-06-16
- 2022-06-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Pfizer-BioNTech | No |
| 2 | 2021-05-22 | Pfizer-BioNTech | No |
| 3 | 2021-12-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-13 | Unsuccessful | |
| 2022-06-10 | Unsuccessful |
Free text
Release 11
Symptoms: Muscle pain legs
Release 12
Symptoms: Sinus issues and sinus infection. Lingering cough
Free-text releases are not linked to a specific 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 | Myalgia | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release