NZP-33050-65800
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 352 / AL
- Registered
- 2022-07-20
- Relationship
- Child or adolescent in my care
- Guardian
- 7K3-24843-93474
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-19
Dose 1 — Pfizer-BioNTech
-
2022-07-20
Registered in v-safe
-
2022-07-20
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-07-22
- 2022-07-23
-
2022-07-24
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · HeadacheFree text: Cold symptoms, negative COVID testMedDRA releases: 2024-11 · check-in free text available
- 2022-07-25
-
2022-07-28
Survey response — day 7, dose 1, dependentMedDRA: Nasopharyngitis — Feeling: FairFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-08-02
-
2022-08-09
Dose 2 — Pfizer-BioNTech
-
2022-08-09
Survey response — day 0, dose 2, dependentMedDRA: Pre-existing disease — Feeling: FairFree text: Being treated for sinus infection prior to shotMedDRA releases: 2024-11 · check-in free text available
- 2022-08-11
- 2022-08-12
- 2022-08-13
- 2022-08-14
-
2022-08-18
Health check-in — day 7, dose 2, dependentFeeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-08-23
- 2022-08-30
- 2022-09-08
- 2022-09-20
-
2022-11-08
Survey response — 3 months, dose 2, dependentMedDRA: Influenza — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: FluMedDRA releases: 2024-11 · check-in free text available
-
2022-11-08
Report sent to call center — 3 months, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-09
-
2022-11-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-19 | Pfizer-BioNTech | No |
| 2 | 2022-08-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-08 | Successful 2022-11-09 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Cold symptoms, negative COVID test
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Cold symptoms
Release 12 — day 0, dose 2, dependent
Systemic reaction (other): Being treated for sinus infection prior to shot
Release 12 — 3 months, dose 2, dependent
Symptoms: Flu
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 | Influenza | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release