X4H-18897-82510
3 vaccinations
2 coded responses
29 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 481 / MI
- Registered
- 2022-10-27
- Relationship
- Child or adolescent in my care
- Guardian
- 2CR-21111-38863
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-10-27
Registered in v-safe
-
2022-10-27
Dose 1 — Pfizer-BioNTechCo-administered: Flu:Hepatitis B:Other:Polio:Rotavirus:Tetanus
-
2022-10-27
Health check-in — day 0, dose 1, under 3Feeling: Fair · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-10-28
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Poor · Irritability/crying, Diarrhea · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-10-29
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-10-30
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Irritability/crying, DiarrheaUnder 3 check-in
- 2022-11-01
- 2022-11-02
- 2022-11-03
-
2022-11-10
Survey response — day 14, dose 1, under 3MedDRA: Respiratory syncytial virus infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-11-17
Dose 2 — Pfizer-BioNTech
- 2022-11-17
-
2022-11-19
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-11-20
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
- 2022-11-21
- 2022-11-22
-
2022-11-26
Survey response — day 7, dose 2, under 3MedDRA: Respiratory tract congestion, Use of accessory respiratory muscles — Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Congestion, chest retractionsMedDRA releases: 2024-11 · check-in free text available
-
2022-11-26
Report sent to call center — day 7, dose 2, under 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-11-28
- 2022-12-03
- 2022-12-08
- 2022-12-15
- 2022-12-22
- 2022-12-29
-
2023-01-13
Dose 3 — Pfizer-BioNTech
-
2023-01-14
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Poor · Irritability/crying, Loss of appetite, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesUnder 3 check-in
-
2023-01-15
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Poor · Fever · Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
-
2023-01-17
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
-
2023-01-19
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
- 2023-01-20
- 2023-01-27
- 2023-02-03
- 2023-02-12
- 2023-02-17
- 2023-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-27 | Pfizer-BioNTech | Flu:Hepatitis B:Other:Polio:Rotavirus:Tetanus |
| 2 | 2022-11-17 | Pfizer-BioNTech | No |
| 3 | 2023-01-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-26 | Unsuccessful |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: RSV
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Congestion, chest retractions
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 | Respiratory syncytial virus infection | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Use of accessory respiratory muscles | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release