PEN-18128-29710
3 vaccinations
4 coded responses
35 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 801 / CO
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- ZLF-13941-46352
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Registered in v-safe
-
2022-07-06
Dose 1 — Pfizer-BioNTech
- 2022-07-06
-
2022-07-07
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-07-08
- 2022-07-09
- 2022-07-10
-
2022-07-11
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Very runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-07-12
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Rhinorrhoea, Sneezing — Feeling: FairFree text: Runny nose, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-13
-
2022-07-20
Survey response — day 14, dose 1, dependentMedDRA: Influenza like illness, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Flu like symptoms · Healthcare visit (other): In person sick appointmentMedDRA releases: 2024-11 · check-in free text available
-
2022-07-20
Report sent to call center — day 14, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-07-21
-
2022-07-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-27
-
2022-08-04
Dose 2 — Pfizer-BioNTech
- 2022-08-04
- 2022-08-05
- 2022-08-06
- 2022-08-07
-
2022-08-08
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
-
2022-09-08
Survey response — day 35, dose 2, dependentMedDRA: Diarrhoea, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Possible food poisoning, vomiting and diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-09-17
-
2022-10-04
Dose 3 — Pfizer-BioNTech
-
2022-10-07
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-06 | Pfizer-BioNTech | No |
| 2 | 2022-08-04 | Pfizer-BioNTech | No |
| 3 | 2022-10-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-20 | Successful 2022-07-21 |
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): Very runny nose
Systemic reaction (other): Runny nose, sneezing
Release 12 — day 14, dose 1, dependent
Release 12 — day 35, dose 2, dependent
Symptoms: Possible food poisoning, vomiting and diarrhea
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 | Diarrhoea | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release