TCZ-31016-55374
3 vaccinations
10 coded responses
33 check-ins
9 free-text entries
7 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 856 / AZ
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- 38Q-40162-15860
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Registered in v-safe
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2022-06-29
Dose 1 — Pfizer-BioNTech
- 2022-06-29
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2022-06-30
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
-
2022-07-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tiredness, Abdominal painAdult check-in
- 2022-07-04
-
2022-07-05
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
- 2022-07-06
- 2022-07-13
-
2022-07-20
Dose 2 — Pfizer-BioNTech
- 2022-07-20
- 2022-07-21
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2022-07-22
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Rash, Rash erythematous — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Still has red rash on left heel (received vaccine in left thigh)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-23
-
2022-07-24
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-08-03
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2022-08-10
Survey response — day 21, dose 2, dependentMedDRA: Diarrhoea, SARS-CoV-2 test positive — Feeling: GoodFree text: Recovering from positive covid test with symptoms on July 27th. Still has very smelly poo, but no diet issues and thankfully his diarrhea resolved on August 7th.MedDRA releases: 2024-11 · check-in free text available
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2022-08-17
Survey response — day 28, dose 2, dependentMedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · 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: Sore throat, runny (faucet-like) nose, coughingMedDRA releases: 2024-11 · check-in free text available
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2022-08-17
Report sent to call center — day 28, dose 2, 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)
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2022-08-18
Call successfulParticipant prefers to complete VAERS report online
- 2022-08-26
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2022-08-31
Survey response — day 42, dose 2, dependentMedDRA: Breast milk substitute intolerance, Dairy intolerance, Vomiting — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Threw up his bottle of formula mixed with 2 oz of milk (he is transitioning off formula and WIC and his pediatrician said to mix an oz of milk with formula for 3 days, then increase to another oz of milk and decrease formula)MedDRA releases: 2024-11 · check-in free text available
-
2022-08-31
Report sent to call center — day 42, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-02
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2022-09-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-09-14
Dose 3 — Pfizer-BioNTech
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2022-09-15
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-09-16
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-09-17
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Decreased appetiteMedDRA releases: 2024-11 · check-in free text available
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2022-09-18
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Cough, Nasal congestion, Secretion discharge, Sneezing — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough, stuffy nose with lots of mucus when sneezingMedDRA releases: 2024-11 · check-in free text available
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2022-09-18
Report sent to call center — days 1–6 daily, dose 3, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-09-19
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2022-09-20
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Hospitalisation, Pneumonia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: In the hospital with pneumoniaMedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Report sent to call center — days 1–6 daily, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-09-23
Health check-in — day 7, dose 3, dependentFeeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-28
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2022-10-05
Survey response — day 21, dose 3, dependentMedDRA: Croup infectious — Feeling: Fair · 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: Croup diagnosed 10/2/2022MedDRA releases: 2024-11 · check-in free text available
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2022-10-05
Report sent to call center — day 21, dose 3, dependentBe unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-06
-
2022-10-06
Call successfulCompleted over the phone
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2022-10-07
Call successfulCompleted over the phone
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2022-10-07
Call successfulCompleted over the phone
- 2022-10-12
- 2022-10-20
- 2022-10-26
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2022-12-14
Survey response — 3 months, dose 3, dependentMedDRA: Cough, Sputum discoloured — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chronic cough since the middle of Nov. and thick, green mucus in nose.MedDRA releases: 2024-11 · check-in free text available
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2022-12-14
Report sent to call center — 3 months, dose 3, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-12-15
Call successfulDoes not wish to fill out VAERS report
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2023-03-15
Survey response — 6 months, dose 3, dependentMedDRA: Cough, Influenza virus test negative, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · 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 visitMedDRA releases: 2024-11
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2023-03-15
Report sent to call center — 6 months, dose 3, 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)
- 2023-03-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | Pfizer-BioNTech | No |
| 2 | 2022-07-20 | Pfizer-BioNTech | No |
| 3 | 2022-09-14 | Pfizer-BioNTech | No |
Call center
7 call center cases
6 successful · 1 unsuccessful
VAERS report filed, before or during a call: 4
Free text
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Still has red rash on left heel (received vaccine in left thigh)
Release 12 — day 21, dose 2, dependent
Symptoms: Recovering from positive covid test with symptoms on July 27th. Still has very smelly poo, but no diet issues and thankfully his diarrhea resolved on August 7th.
Release 12 — day 28, dose 2, dependent
Symptoms: Sore throat, runny (faucet-like) nose, coughing
Release 12 — day 42, dose 2, dependent
Symptoms: Threw up his bottle of formula mixed with 2 oz of milk (he is transitioning off formula and WIC and his pediatrician said to mix an oz of milk with formula for 3 days, then increase to another oz of milk and decrease formula)
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Decreased appetite
Systemic reaction (other): Cough, stuffy nose with lots of mucus when sneezing
Systemic reaction (other): In the hospital with pneumonia
Release 12 — day 21, dose 3, dependent
Symptoms: Croup diagnosed 10/2/2022
Release 12 — 3 months, dose 3, dependent
Symptoms: Chronic cough since the middle of Nov. and thick, green mucus in nose.
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 | Breast milk substitute intolerance | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Dairy intolerance | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Hospitalisation | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Pneumonia | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash erythematous | · | · | ✓ |
| SRO | Secretion discharge | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release