TFX-30087-03065
2 vaccinations
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 074 / NJ
- Registered
- 2022-09-23
- Relationship
- Child or adolescent in my care
- Guardian
- Q5R-43943-82089
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-16
Dose 1 — Pfizer-BioNTech
-
2021-12-07
Dose 2 — Pfizer-BioNTech
-
2022-09-23
Registered in v-safe
-
2022-12-07
Survey response — 12 months, dose 2, dependentMedDRA: Loss of personal independence in daily activities, Otitis externa, Pyrexia — 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: 10/28/2022 left school early with fever 104; swimmer's ear infection 11/12/2022MedDRA releases: 2024-11 · check-in free text available
-
2022-12-07
Report sent to call center — 12 months, 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)
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-16 | Pfizer-BioNTech | No |
| 2 | 2021-12-07 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-07 | Unsuccessful |
Free text
Release 12 — 12 months, dose 2, dependent
Symptoms: 10/28/2022 left school early with fever 104; swimmer's ear infection 11/12/2022
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 | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Otitis externa | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release