XSM-12166-41150
3 vaccinations
2 coded responses
12 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 570 / SD
- Registered
- 2022-01-17
- Relationship
- Child or adolescent in my care
- Guardian
- MWM-23271-85766
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-15
Dose 1 — Pfizer-BioNTech
-
2021-06-05
Dose 2 — Pfizer-BioNTech
-
2022-01-13
Dose 3 — Pfizer-BioNTech
-
2022-01-17
Registered in v-safe
-
2022-01-17
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea · 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 visitAdult check-in
-
2022-01-17
Report sent to call center — days 1–6 daily, dose 3, 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)
-
2022-01-18
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Cough — Feeling: Fair · Be unable to work or attend schoolFree text: CoughingMedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
-
2022-01-19
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-01-20
- 2022-01-27
- 2022-02-03
- 2022-02-10
- 2022-02-17
- 2022-02-24
- 2022-04-14
- 2022-07-14
- 2023-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-15 | Pfizer-BioNTech | No |
| 2 | 2021-06-05 | Pfizer-BioNTech | No |
| 3 | 2022-01-13 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Coughing
Systemic reaction (other): Cough
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 |
|---|---|---|---|---|
| SRO | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release