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QLZ-29014-64850

3 vaccinations 1 coded response 5 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
05-11
ZIP prefix
641 / MO
Registered
2022-06-25
Relationship
Child or adolescent in my care
Guardian
XS7-19444-34193
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-02
    Dose 2 — Pfizer-BioNTech
  3. 2022-05-27
    Dose 3 — Pfizer-BioNTech
  4. 2022-06-25
    Registered in v-safe
  5. 2022-06-25
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  6. 2022-07-01
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  7. 2022-07-08
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  8. 2022-08-26
    Survey response — 3 months, dose 3, dependent
    MedDRA: Gastroenteritis viral, Pharyngitis streptococcal — 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: Strep throat, stomach bug
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-08-26
    Report sent to call center — 3 months, dose 3, 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)
  10. 2022-08-30
  11. 2022-11-25

Vaccinations

DoseDateManufacturerCo-administered
12021-11-11Pfizer-BioNTech No
22021-12-02Pfizer-BioNTech No
32022-05-27Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-08-26 Unsuccessful

Free text

Release 12 — 3 months, dose 3, dependent

2022-08-26

Symptoms: Strep throat, stomach bug

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
SDGastroenteritis viral · · ✓
SDPharyngitis streptococcal · · ✓

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