XDY-11091-60170
2 vaccinations
2 coded responses
19 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 662 / KS
- Registered
- 2022-07-19
- Relationship
- Child or adolescent in my care
- Guardian
- XTJ-25631-94312
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-30
Dose 1 — Pfizer-BioNTech
-
2022-07-19
Registered in v-safe
- 2022-07-19
- 2022-07-21
- 2022-07-28
-
2022-08-06
Dose 2 — Pfizer-BioNTech
- 2022-08-06
- 2022-08-06
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-12
-
2022-08-13
Survey response — day 7, dose 2, dependentMedDRA: Eye discharge, Eye swelling — Feeling: FairFree text: Swollen eye with dischargeMedDRA releases: 2024-11 · check-in free text available
- 2022-08-22
- 2022-08-27
-
2022-09-03
Survey response — day 28, dose 2, dependentMedDRA: Ear infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-09-03
Report sent to call center — day 28, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-06
- 2022-09-10
- 2022-09-19
- 2022-11-05
- 2023-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-30 | Pfizer-BioNTech | No |
| 2 | 2022-08-06 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-03 | Unsuccessful |
Free text
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): Swollen eye with discharge
Release 12 — day 28, dose 2, dependent
Symptoms: Ear 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 | Ear infection | · | · | ✓ |
| SRO | Eye discharge | · | · | ✓ |
| SRO | Eye swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release