VZL-96746-11848

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 0-4
ZIP prefix: 486 / MI
Registered: 2022-07-23

Relationship: Child or adolescent in my care
Guardian: 9EW-59939-93299
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-07-20
Dose 1 — Pfizer-BioNTech
2022-07-23
Registered in v-safe
2022-07-23
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-24
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-25
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-26
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-27
Health check-in — day 7, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-08-03
Survey response — day 14, dose 1, under 3
MedDRA: Malaise, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: Sick today with fever

MedDRA releases: 2024-11 · check-in free text available
2022-08-10
Health check-in — day 21, dose 1, under 3
Feeling: Good

Under 3 check-in
2022-08-18
Dose 2 — Moderna
2022-08-19
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Fever · None

Under 3 check-in
2022-08-20
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · Fever · None

Under 3 check-in
2022-08-21
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Haematuria, Urinary tract pain — Feeling: Fair · Fever · Irritability/crying · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Urinary pain, blood in urine

MedDRA releases: 2024-11 · check-in free text available
2022-08-21
Report sent to call center — days 1–6 daily, dose 2, under 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-08-22
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Urinary tract infection — Feeling: Fair · Fever · Be unable to work or attend school

Free text: Uti

MedDRA releases: 2024-11 · check-in free text available
2022-08-22
Call 1 — Left Voicemail
2022-08-22
Call successful
Participant prefers to complete VAERS report online
2022-08-23
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-24
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-25
Health check-in — day 7, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-09-01
Survey response — day 14, dose 2, under 3
MedDRA: Back pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Back pain

MedDRA releases: 2024-11 · check-in free text available
2022-09-01
Report sent to call center — day 14, dose 2, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-09-02
Call 1 — Left Voicemail
2022-09-08
Survey response — day 21, dose 2, under 3
MedDRA: Back pain, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Back pain. · Healthcare visit (other): Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-09-08
Report sent to call center — day 21, dose 2, under 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-09-09
Call 2 — Left Voicemail
2022-09-09
Call 1 — Left Voicemail
2022-09-17
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-24
Survey response — day 35, dose 2, under 3
MedDRA: Back pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Continued lower back pain

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Report sent to call center — day 35, dose 2, under 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-09-27
Call 3 — Left Voicemail
2022-09-27
Call 2 — Left Voicemail
2022-09-27
Call 1 — Left Voicemail
2022-09-29
Survey response — day 42, dose 2, under 3
MedDRA: Back pain — Feeling: Good

Free text: Back pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Health check-in — 3 months, dose 2, under 3
Feeling: Fair

Under 3 check-in
2023-02-18
Health check-in — 6 months, dose 2, under 3
Feeling: Good

Under 3 check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-07-20	Pfizer-BioNTech	No
2	2022-08-18	Moderna	No

Call center

4 call center cases

1 successful · 3 unsuccessful

See the call center timeline

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-08-03

Symptoms: Sick today with fever

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-08-21

Systemic reaction (other): Urinary pain, blood in urine

2022-08-22

Systemic reaction (other): Uti

Release 12 (Under 3) — day 14, dose 2, under 3

2022-09-01

Symptoms: Back pain

Release 12 (Under 3) — day 21, dose 2, under 3

2022-09-08

Symptoms: Back pain.

Healthcare visit (other): Chiropractor

Release 12 (Under 3) — day 35, dose 2, under 3

2022-09-24

Symptoms: Continued lower back pain

Release 12 (Under 3) — day 42, dose 2, under 3

2022-09-29

Symptoms: Back pain

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	Office visit	·	·	✓
SD	Back pain	·	·	✓
SD	Malaise	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Haematuria	·	·	✓
SRO	Urinary tract infection	·	·	✓
SRO	Urinary tract pain	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release