VWB-83166-90382
3 vaccinations
3 coded responses
8 check-ins
1 free-text entry
3 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 453 / OH
- Registered
- 2022-09-18
- Relationship
- Child or adolescent in my care
- Guardian
- 5GH-85035-45473
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-14
Dose 1 — Pfizer-BioNTech
-
2021-12-05
Dose 2 — Pfizer-BioNTech
-
2022-09-18
Registered in v-safe
-
2022-11-21
Dose 3 — Pfizer-BioNTech
- 2022-12-06
-
2022-12-06
Survey response — 12 months, dose 2, dependentMedDRA: Conjunctivitis, Gastroenteritis viral, Unevaluable event, Upper respiratory tract infection — 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 · Telehealth, virtual health, or email health consultationFree text: Symptoms: Stomach flu, upper respiratory infection, pink eye · Healthcare visit (other): RxMedDRA releases: 2024-11 · check-in free text available
-
2022-12-06
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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-12-07
Call successfulNot applicable - Accidental Reporting
- 2022-12-13
- 2022-12-19
- 2022-12-26
- 2023-01-04
-
2023-02-21
Survey response — 3 months, dose 3, dependentMedDRA: Pharyngitis streptococcal — Feeling: Good · 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
-
2023-02-21
Report sent to call center — 3 months, 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)
- 2023-02-22
-
2023-05-23
Survey response — 6 months, dose 3, dependentMedDRA: Pharyngitis streptococcal — 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 visitMedDRA releases: 2024-11
-
2023-05-23
Call case (no matching report) — SuccessfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-05-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-05-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-05 | Pfizer-BioNTech | No |
| 3 | 2022-11-21 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 12 — 12 months, dose 2, dependent
Symptoms: Stomach flu, upper respiratory infection, pink eye
Healthcare visit (other): Rx
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release