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QWB-10698-76211

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 2 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
700 / LA
Registered
2021-11-14
Relationship
Child or adolescent in my care
Guardian
2UA-31526-78782
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-14
    Registered in v-safe
  3. 2021-11-14
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Feeling hot, Vomiting — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: He's been throwing up for the past few hours. Says he feels hot but thermometer says no fever. Will miss school tomorrow.
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-11-15
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Decreased appetite, Diarrhoea, Loss of personal independence in daily activities, Nausea, Vomiting — Feeling: Poor · Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Stayed home from school today. Has had nausea, vomiting and diarrhea for the past 24 hours. Appetite returned a few hours ago.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-11-16
    Survey response — day 7, dose 1, dependent
    MedDRA: Diarrhoea, Loss of personal independence in daily activities — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Had to stay home from school today because of diarrhea
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-23
    Survey response — day 14, dose 1, dependent
    MedDRA: Increased upper airway secretion, Productive cough, SARS-CoV-2 test negative — Feeling: Good
    Free text: Cough and throat phlegm. Tested negative for covid with rapid binax test.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-02
    Survey response — day 21, dose 1, dependent
    MedDRA: Productive cough — 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: Cough with phlegm that got worse over the week
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-02
    Report sent to call center — day 21, dose 1, 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)
  9. 2021-12-03
    Call successful
    Does not wish to fill out VAERS report
  10. 2021-12-07
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-12-08
    Dose 2 — Pfizer-BioNTech
  12. 2021-12-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-12-15
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-22
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2021-12-29
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-01-05
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-01-12
    Survey response — day 35, dose 2, dependent
    MedDRA: Productive cough, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Phlegm and congestion
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-12
    Report sent to call center — day 35, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  19. 2022-01-13
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  20. 2022-01-19
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-03-09
  22. 2022-06-08
  23. 2022-12-08

Vaccinations

DoseDateManufacturerCo-administered
12021-11-09Pfizer-BioNTech No
22021-12-08Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-14

Systemic reaction (other): He's been throwing up for the past few hours. Says he feels hot but thermometer says no fever. Will miss school tomorrow.

2021-11-15

Systemic reaction (other): Stayed home from school today. Has had nausea, vomiting and diarrhea for the past 24 hours. Appetite returned a few hours ago.

Release 10 — day 7, dose 1, dependent

2021-11-16

Systemic reaction (other): Had to stay home from school today because of diarrhea

Release 10 — day 14, dose 1, dependent

2021-11-23

Symptoms: Cough and throat phlegm. Tested negative for covid with rapid binax test.

Release 10 — day 21, dose 1, dependent

2021-12-02

Symptoms: Cough with phlegm that got worse over the week

Release 10 — day 35, dose 2, dependent

2022-01-12

Symptoms: Phlegm and congestion

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
SDIncreased upper airway secretion · · ✓
SDProductive cough · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative · · ✓
SRODecreased appetite · · ✓
SRODiarrhoea · · ✓
SROFeeling hot · · ✓
SROLoss of personal independence in daily activities · · ✓
SRONausea · · ✓
SROVomiting · · ✓

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