UUQ-14706-51119
2 vaccinations
1 coded response
5 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 530 / WI
- Registered
- 2022-01-14
- Relationship
- Child or adolescent in my care
- Guardian
- 4XZ-77343-46817
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-14
Dose 1 — Pfizer-BioNTech
-
2021-12-05
Dose 2 — Pfizer-BioNTech
-
2022-01-14
Registered in v-safe
- 2022-01-14
- 2022-01-16
- 2022-03-07
- 2022-06-05
-
2022-12-05
Survey response — 12 months, dose 2, dependentMedDRA: Cough, Respiratory tract infection — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Cough, respiratory infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-05
Report sent to call center — 12 months, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-12-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-05 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-05 | Unsuccessful |
Free text
Release 12 — 12 months, dose 2, dependent
Symptoms: Cough, respiratory infection
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 | Cough | · | · | ✓ |
| SD | Respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release