XEG-10240-91813
3 vaccinations
3 coded responses
29 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 235 / VA
- Registered
- 2021-11-18
- Relationship
- Child or adolescent in my care
- Guardian
- BSX-17231-99380
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-18
Registered in v-safe
-
2021-11-18
Dose 1 — Pfizer-BioNTech
- 2021-11-18
-
2021-11-19
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fever · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-20
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Oropharyngeal pain — Feeling: Poor · Fever · Chills, Joint pains, Fatigue or tiredness · 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 visitFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Report sent to call center — days 1–6 daily, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-21
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Oropharyngeal pain — Feeling: Good · Fever · HeadacheFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-22
- 2021-11-24
- 2021-11-25
-
2021-12-02
Survey response — day 14, dose 1, dependentMedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
-
2021-12-03
Call successfulDoes not wish to fill out VAERS report
-
2021-12-09
Dose 2 — Pfizer-BioNTech
- 2021-12-09
-
2021-12-11
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-03-12
- 2022-06-09
-
2022-08-31
Dose 3 — Pfizer-BioNTech
- 2022-09-17
- 2022-09-21
- 2022-09-30
- 2022-10-05
- 2022-10-12
- 2022-11-30
- 2023-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-18 | Pfizer-BioNTech | No |
| 2 | 2021-12-09 | Pfizer-BioNTech | No |
| 3 | 2022-08-31 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 10 — day 14, dose 1, dependent
Symptoms: Sore throat
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 | Oropharyngeal pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release