PC3-23569-81199
2 vaccinations
1 coded response
2 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 081 / NJ
- Registered
- 2022-07-01
- Relationship
- Child or adolescent in my care
- Guardian
- HZD-20649-11917
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-03-15
Dose 1 — Pfizer-BioNTech
-
2022-04-14
Dose 2 — Pfizer-BioNTech
-
2022-07-01
Registered in v-safe
-
2022-07-14
Survey response — 3 months, dose 2, dependentMedDRA: Seizure — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: (b)(6) had had seizures after receiving both vaccines, each a week and a half after receiving vaccine. (b)(6) has never had seiZures before.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-14
Report sent to call center — 3 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-07-15
- 2022-10-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-03-15 | Pfizer-BioNTech | No |
| 2 | 2022-04-14 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — 3 months, dose 2, dependent
Symptoms: (b)(6) had had seizures after receiving both vaccines, each a week and a half after receiving vaccine. (b)(6) has never had seiZures before.
redacted (b)(6)
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 | Seizure | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release