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NM8-26716-18862

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
05-11
ZIP prefix
500 / IA
Registered
2021-11-11
Relationship
Child or adolescent in my care
Guardian
3ML-30552-95640
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-11-11
    Registered in v-safe
  2. 2021-11-11
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-11
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-11-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-11-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-11-14
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-16
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-18
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-25
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-12-03
    Survey response — day 21, dose 1, dependent
    MedDRA: Croup infectious — Feeling: Fair · Be unable to work or attend school
    Free text: Has croup, took steroids
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-08
    Dose 2 — Pfizer-BioNTech
  12. 2021-12-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-12-10
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Urinary incontinence — Feeling: Good · Site: Pain
    Free text: Had a wetting accident today; unlike her. No accidents for 2+years. Unsure if she has a UTI.....
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-12
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-13
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-12-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-12-15
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-12-22
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2021-12-29
    Survey response — day 21, dose 2, dependent
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: I believe she has a cold virus.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-01-05
    Survey response — day 28, dose 2, dependent
    MedDRA: Influenza A virus test negative, Influenza B virus test, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair
    Free text: I believe she has a slight cold, runny nose. No fevers. Her twins tested negative to RSV, COVID, Strep and influenza A & B.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-01-13
    Survey response — day 35, dose 2, dependent
    MedDRA: Mass, Office visit, Synovial cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Left foot growth. Ganglion cyst per podiatrist. · Healthcare visit (other): Podiatrist
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-01-13
    Report sent to call center — day 35, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-01-14
  24. 2022-01-20
    Survey response — day 42, dose 2, dependent
    MedDRA: Synovial cyst — Feeling: Good
    Free text: Diagnosed with ganglion cyst on left foot
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-03-09
    Survey response — 3 months, dose 2, dependent
    MedDRA: Synovial cyst — Feeling: Good
    Free text: Foot ganglion cyst
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-06-08
  27. 2022-12-08

Vaccinations

DoseDateManufacturerCo-administered
12021-11-11Pfizer-BioNTech No
22021-12-08Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-01-13 Unsuccessful

Free text

Release 10 — day 21, dose 1, dependent

2021-12-03

Symptoms: Has croup, took steroids

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-10

Systemic reaction (other): Had a wetting accident today; unlike her. No accidents for 2+years. Unsure if she has a UTI.....

Release 10 — day 21, dose 2, dependent

2021-12-29

Symptoms: I believe she has a cold virus.

Release 10 — day 28, dose 2, dependent

2022-01-05

Symptoms: I believe she has a slight cold, runny nose. No fevers. Her twins tested negative to RSV, COVID, Strep and influenza A & B.

Release 10 — day 35, dose 2, dependent

2022-01-13

Symptoms: Left foot growth. Ganglion cyst per podiatrist.
Healthcare visit (other): Podiatrist

Release 10 — day 42, dose 2, dependent

2022-01-20

Symptoms: Diagnosed with ganglion cyst on left foot

Release 11 — 3 months, dose 2, dependent

2022-03-09

Symptoms: Foot ganglion cyst

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDCroup infectious · · ✓
SDInfluenza A virus test negative · · ✓
SDInfluenza B virus test · · ✓
SDMass · · ✓
SDNasopharyngitis · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSynovial cyst · · ✓
SROUrinary incontinence · · ✓

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