NJL-11475-21632
2 vaccinations
2 coded responses
10 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 207 / MD
- Registered
- 2022-07-27
- Relationship
- Child or adolescent in my care
- Guardian
- 9C9-18537-18448
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Pfizer-BioNTech
-
2022-07-23
Dose 2 — Pfizer-BioNTech
-
2022-07-27
Registered in v-safe
-
2022-07-27
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Oral herpes — Feeling: GoodFree text: Cold soreMedDRA releases: 2024-11 · check-in free text available
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-08-08
-
2022-08-13
Survey response — day 21, dose 2, under 3MedDRA: Office visit, Pyrexia, Rash — Feeling: Poor · 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 visitFree text: Symptoms: Rash, followed by high fever, and possible hand foot and mouth disease · Healthcare visit (other): Pediatrician visitMedDRA releases: 2024-11 · check-in free text available
-
2022-08-13
Report sent to call center — day 21, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-15
-
2022-08-15
Call successfulDoes not wish to fill out VAERS report
- 2022-08-20
- 2022-08-29
- 2022-09-03
- 2023-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Pfizer-BioNTech | No |
| 2 | 2022-07-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Cold sore
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Rash, followed by high fever, and possible hand foot and mouth disease
Healthcare visit (other): Pediatrician visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Oral herpes | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release