NH2-39743-24259
3 vaccinations
6 coded responses
38 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 106 / NY
- Registered
- 2021-11-11
- Relationship
- Child or adolescent in my care
- Guardian
- 26K-18816-76048
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Registered in v-safe
-
2021-11-11
Dose 1 — Pfizer-BioNTech
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-25
-
2021-12-02
Dose 2 — Pfizer-BioNTech
-
2021-12-02
Health check-in — day 0, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-16
-
2021-12-23
Survey response — day 21, dose 2, dependentMedDRA: Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: A fever at first (now gone) , now congestion, runny nose, and coughMedDRA releases: 2024-11 · check-in free text available
-
2021-12-30
Survey response — day 28, dose 2, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Congestion, cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-06
- 2022-01-13
- 2022-03-03
-
2022-06-04
Survey response — 6 months, dose 2, dependentMedDRA: COVID-19, Oxygen saturation decreased, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Got COVID, low blood oxygen, fever, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-06-04
Report sent to call center — 6 months, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-06-06
Call successfulDoes not wish to fill out VAERS report
-
2022-11-06
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-07
- 2022-11-08
- 2022-11-09
-
2022-11-10
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Toothache — Feeling: GoodFree text: Tooth pain because of molar coming inMedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2022-11-12
- 2022-11-13
- 2022-11-20
- 2022-11-27
-
2022-12-04
Survey response — day 28, dose 3, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-12-11
- 2022-12-19
-
2023-02-07
Survey response — 3 months, dose 3, dependentMedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-02 | Pfizer-BioNTech | No |
| 3 | 2022-11-06 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 10 — day 21, dose 2, dependent
Symptoms: A fever at first (now gone) , now congestion, runny nose, and cough
Release 10 — day 28, dose 2, dependent
Symptoms: Congestion, cough.
Release 11 — 6 months, dose 2, dependent
Symptoms: Got COVID, low blood oxygen, fever, congestion
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Tooth pain because of molar coming in
Release 12 — day 28, dose 3, dependent
Symptoms: Runny nose
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 | COVID-19 | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Toothache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release