QH9-26628-33695
1 vaccination
1 coded response
10 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 068 / CT
- Registered
- 2021-11-15
- Relationship
- Child or adolescent in my care
- Guardian
- ZBW-26791-15052
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-13
Dose 1 — Pfizer-BioNTech
-
2021-11-15
Registered in v-safe
-
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-16
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-21
- 2021-11-28
- 2022-02-14
-
2022-05-16
Survey response — 6 months, dose 1, dependentMedDRA: COVID-19, Gastrointestinal disorder, Illness — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Had Covid in January. Since then has experienced lots of illnesses, needed to be on antibiotics, and has recurrent stomach issues.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-16
Report sent to call center — 6 months, dose 1, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-17
Call successfulNot applicable - Accidental Reporting
- 2022-11-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-16 | Successful 2022-05-17 |
Not applicable - Accidental Reporting |
Free text
Release 11 — 6 months, dose 1, dependent
Symptoms: Had Covid in January. Since then has experienced lots of illnesses, needed to be on antibiotics, and has recurrent stomach issues.
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 | COVID-19 | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Illness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release