XJG-20485-98962
2 vaccinations
9 coded responses
12 check-ins
9 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 875 / NM
- Registered
- 2021-11-28
- Relationship
- Child or adolescent in my care
- Guardian
- YBM-32816-50575
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-12
Dose 1 — Pfizer-BioNTech
-
2021-11-28
Registered in v-safe
-
2021-11-28
Survey response — day 14, dose 1, dependentMedDRA: Headache — Feeling: GoodFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Survey response — day 21, dose 1, dependentMedDRA: Abdominal discomfort, Abdominal pain upper — Feeling: Good · Be unable to work or attend schoolFree text: Stomach pain and upsetMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Dose 2 — Pfizer-BioNTech
-
2021-12-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-11
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Sneezing congestion and also runny noseMedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Rhinorrhoea, Sinus congestion — Feeling: Good · FeverFree text: Sinus congestion, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Survey response — day 14, dose 2, dependentMedDRA: Chills, Cough, Pain, Pyrexia, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Throwing up, fever, coughing chills body acheMedDRA releases: 2024-11 · check-in free text available
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2021-12-29
Survey response — day 21, dose 2, dependentMedDRA: Cough, Discharge, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infection, cough, drainageMedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Report sent to call center — day 21, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-05
- 2022-01-05
- 2022-01-19
-
2022-03-09
Survey response — 3 months, dose 2, dependentMedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Survey response — 6 months, dose 2, dependentMedDRA: Cough, Oral infection — Feeling: FairFree text: Infection in mouth and consistent cough.MedDRA releases: 2024-11 · check-in free text available
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2022-12-10
Survey response — 12 months, dose 2, dependentMedDRA: Influenza, Viral 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 visit, Emergency room or emergency department visitFree text: He caught multiple viruses and the fluMedDRA releases: 2024-11 · check-in free text available
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2022-12-10
Report sent to call center — 12 months, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-12-12
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Pfizer-BioNTech | No |
| 2 | 2021-12-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-29 | Unsuccessful | |
| 2022-12-10 | Unsuccessful |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Headaches
Release 10 — day 21, dose 1, dependent
Symptoms: Stomach pain and upset
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Sneezing congestion and also runny nose
Systemic reaction (other): Sinus congestion, runny nose
Release 10 — day 14, dose 2, dependent
Symptoms: Throwing up, fever, coughing chills body ache
Release 10 — day 21, dose 2, dependent
Symptoms: Sinus infection, cough, drainage
Release 11 — 3 months, dose 2, dependent
Symptoms: Headaches
Release 11 — 6 months, dose 2, dependent
Symptoms: Infection in mouth and consistent cough.
Release 12 — 12 months, dose 2, dependent
Symptoms: He caught multiple viruses and the flu
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Oral infection | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release