P4N-32903-56611
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 809 / CO
- Registered
- 2021-11-16
- Relationship
- Child or adolescent in my care
- Guardian
- YR6-17959-38223
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-16
Registered in v-safe
-
2021-11-16
Dose 1 — Pfizer-BioNTech
- 2021-11-16
- 2021-11-17
-
2021-11-19
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Medical counselling — Feeling: Fair · Nausea · Get care from a doctor or other healthcare professionalFree text: Went to school nurseMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Report sent to call center — days 1–6 daily, dose 1, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-23
- 2021-11-30
-
2021-12-07
Dose 2 — Pfizer-BioNTech
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
-
2021-12-21
Survey response — day 14, dose 2, dependentMedDRA: Diarrhoea, Nausea — Feeling: GoodFree text: Nausea and diarrhea x 1 dayMedDRA releases: 2024-11 · check-in free text available
-
2021-12-28
Survey response — day 21, dose 2, dependentMedDRA: Cough, Diarrhoea — Feeling: GoodFree text: Mild cough and diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Survey response — day 28, dose 2, dependentMedDRA: Cough — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough pending covid testMedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Report sent to call center — day 28, dose 2, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-11
- 2022-01-18
- 2022-03-10
-
2022-12-07
Survey response — 12 months, dose 2, dependentMedDRA: Cough — Feeling: FairFree text: Currently has a coughMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-16 | Pfizer-BioNTech | No |
| 2 | 2021-12-07 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-19 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-01-04 | Successful 2022-01-05 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Healthcare visit (other): Went to school nurse
Release 10 — day 14, dose 2, dependent
Symptoms: Nausea and diarrhea x 1 day
Release 10 — day 21, dose 2, dependent
Symptoms: Mild cough and diarrhea
Release 10 — day 28, dose 2, dependent
Symptoms: Cough pending covid test
Release 12 — 12 months, dose 2, dependent
Symptoms: Currently has a cough
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 | Medical counselling | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release