XTB-16730-05802
1 vaccination
2 coded responses
3 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 460 / IN
- Registered
- 2022-02-26
- Relationship
- Child or adolescent in my care
- Guardian
- 4UT-70051-36878
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-02-09
Dose 1 — Pfizer-BioNTech
-
2022-02-26
Registered in v-safe
-
2022-02-26
Survey response — day 14, dose 1, dependentMedDRA: Abdominal pain upper, Headache, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: 1 day stomach and headache. Runny nose for several days.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Survey response — 3 months, dose 1, dependentMedDRA: Headache, Office visit, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat Congestion Headache · Healthcare visit (other): Dr officeMedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Report sent to call center — 3 months, 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 pr1 call case(s)
- 2022-05-12
- 2022-05-13
-
2022-05-13
Callback requested for01:45PM CT
- 2023-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-02-09 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — day 14, dose 1, dependent
Symptoms: 1 day stomach and headache. Runny nose for several days.
Release 11 — 3 months, dose 1, dependent
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release