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
-
2021-11-11
Registered in v-safe
-
2021-11-11
Dose 1 — Pfizer-BioNTech
- 2021-11-11
-
2021-11-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-13
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-14
- 2021-11-16
- 2021-11-18
- 2021-11-25
-
2021-12-03
Survey response — day 21, dose 1, dependentMedDRA: Croup infectious — Feeling: Fair · Be unable to work or attend schoolFree text: Has croup, took steroidsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Dose 2 — Pfizer-BioNTech
-
2021-12-09
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-12-10
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Urinary incontinence — Feeling: Good · Site: PainFree 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
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-22
-
2021-12-29
Survey response — day 21, dose 2, dependentMedDRA: Nasopharyngitis — Feeling: FairFree text: I believe she has a cold virus.MedDRA releases: 2024-11 · check-in free text available
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2022-01-05
Survey response — day 28, dose 2, dependentMedDRA: Influenza A virus test negative, Influenza B virus test, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: FairFree 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
-
2022-01-13
Survey response — day 35, dose 2, dependentMedDRA: Mass, Office visit, Synovial cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Left foot growth. Ganglion cyst per podiatrist. · Healthcare visit (other): PodiatristMedDRA releases: 2024-11 · check-in free text available
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2022-01-13
Report sent to call center — day 35, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-14
-
2022-01-20
Survey response — day 42, dose 2, dependentMedDRA: Synovial cyst — Feeling: GoodFree text: Diagnosed with ganglion cyst on left footMedDRA releases: 2024-11 · check-in free text available
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2022-03-09
Survey response — 3 months, dose 2, dependentMedDRA: Synovial cyst — Feeling: GoodFree text: Foot ganglion cystMedDRA releases: 2024-11 · check-in free text available
- 2022-06-08
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-13 | Unsuccessful |
Free text
Release 10 — day 21, dose 1, dependent
Symptoms: Has croup, took steroids
Release 10 — days 1–6 daily, dose 2, dependent
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
Symptoms: I believe she has a cold virus.
Release 10 — day 28, dose 2, dependent
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
Symptoms: Left foot growth. Ganglion cyst per podiatrist.
Healthcare visit (other): Podiatrist
Release 10 — day 42, dose 2, dependent
Symptoms: Diagnosed with ganglion cyst on left foot
Release 11 — 3 months, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Influenza A virus test negative | · | · | ✓ |
| SD | Influenza B virus test | · | · | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Synovial cyst | · | · | ✓ |
| SRO | Urinary incontinence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release