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PVP-71179-19179

2 vaccinations 3 coded responses 22 check-ins 3 free-text entries 2 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
206 / MD
Registered
2021-11-06
Relationship
Child or adolescent in my care
Guardian
TB8-17822-04861
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-06
    Registered in v-safe
  2. 2021-11-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-06
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-13
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-11-20
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-11-27
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2021-11-30
    Dose 2 — Pfizer-BioNTech
  13. 2021-12-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-12-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-12-07
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-12-14
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2021-12-21
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2021-12-28
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-01-04
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-01-11
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-03-01
    Survey response — 3 months, dose 2, dependent
    MedDRA: Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: 4 days of fever (100.8-101.3) but no other symptoms in January 2022.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-05-31
    Survey response — 6 months, dose 2, dependent
    MedDRA: Respiratory tract infection viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Two respiratory viral illnesses (not Covid-19)
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-05-31
    Report sent to call center — 6 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2022-06-01
  27. 2022-06-01
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  28. 2022-12-02
    Survey response — 12 months, dose 2, dependent
    MedDRA: Influenza — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Influenza
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-12-02
    Report sent to call center — 12 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  30. 2022-12-05
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-11-06Pfizer-BioNTech No
22021-11-30Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-05-31 Successful
2022-06-01
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-02 Successful
2022-12-05
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 11 — 3 months, dose 2, dependent

2022-03-01

Symptoms: 4 days of fever (100.8-101.3) but no other symptoms in January 2022.

Release 11 — 6 months, dose 2, dependent

2022-05-31

Symptoms: Two respiratory viral illnesses (not Covid-19)

Release 12 — 12 months, dose 2, dependent

2022-12-02

Symptoms: Influenza

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

FieldPreferred term2021-092023-042024-11
SDInfluenza · · ✓
SDPyrexia · · ✓
SDRespiratory tract infection viral · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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