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
-
2021-11-09
Dose 1 — Pfizer-BioNTech
-
2021-11-14
Registered in v-safe
-
2021-11-14
Survey response — days 1–6 daily, dose 1, dependentMedDRA: 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 activitiesFree 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
-
2021-11-15
Survey response — days 1–6 daily, dose 1, dependentMedDRA: 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 activitiesFree 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
-
2021-11-16
Survey response — day 7, dose 1, dependentMedDRA: 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 activitiesFree text: Had to stay home from school today because of diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Survey response — day 14, dose 1, dependentMedDRA: Increased upper airway secretion, Productive cough, SARS-CoV-2 test negative — Feeling: GoodFree text: Cough and throat phlegm. Tested negative for covid with rapid binax test.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Survey response — day 21, dose 1, dependentMedDRA: 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 visitFree text: Cough with phlegm that got worse over the weekMedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Report sent to call center — day 21, 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-03
Call successfulDoes not wish to fill out VAERS report
- 2021-12-07
-
2021-12-08
Dose 2 — Pfizer-BioNTech
- 2021-12-14
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
-
2022-01-12
Survey response — day 35, dose 2, dependentMedDRA: Productive cough, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Phlegm and congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-12
Report sent to call center — day 35, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-19
- 2022-03-09
- 2022-06-08
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-09 | Pfizer-BioNTech | No |
| 2 | 2021-12-08 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — days 1–6 daily, dose 1, dependent
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.
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
Systemic reaction (other): Had to stay home from school today because of diarrhea
Release 10 — day 14, dose 1, dependent
Symptoms: Cough and throat phlegm. Tested negative for covid with rapid binax test.
Release 10 — day 21, dose 1, dependent
Symptoms: Cough with phlegm that got worse over the week
Release 10 — day 35, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Loss of personal independence in daily activities | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release