Y2Q-13458-03913
3 vaccinations
3 coded responses
29 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 303 / GA
- Registered
- 2021-11-11
- Relationship
- Child or adolescent in my care
- Guardian
- LNJ-22539-61535
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-11-11
Registered in v-safe
-
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-26
-
2021-12-01
Dose 2 — Pfizer-BioNTech
- 2021-12-01
-
2021-12-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
-
2021-12-29
Survey response — day 28, dose 2, dependentMedDRA: Chills, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing — Feeling: Poor · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chills/ fever to 106/ positive Covid-19 test today/ congestion/ runny nose/ sneezingMedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Report sent to call center — day 28, dose 2, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-03
-
2022-01-05
Survey response — day 35, dose 2, dependentMedDRA: COVID-19, Exposure to SARS-CoV-2, Office visit, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: She tested positive for Covid-19 rapid test 12/29/21 and 01/03/22. Symptoms started 12/28/21. She had 2 negative PCR tests done 12/17/21 & 12/23/21. Exposed to positive close contact 12/24 & 25 (who was unaware, asymptomatic at the time). · Healthcare visit (other): Urgent care test visitMedDRA releases: 2024-11 · check-in free text available
-
2022-01-05
Report sent to call center — day 35, dose 2, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-07
- 2022-01-12
-
2022-01-26
Call successfulOther
-
2022-01-26
Call successfulOther
- 2022-03-03
- 2022-06-01
-
2022-11-04
Dose 3 — Pfizer-BioNTech
- 2022-11-08
- 2022-11-12
-
2022-11-18
Survey response — day 14, dose 3, dependentMedDRA: Influenza — Feeling: Good · Be unable to work or attend schoolFree text: Diagnosed with Influenza A November 14-16th. Not related to Covid vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2023-02-03
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
| 3 | 2022-11-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-29 | Successful 2022-01-26 |
Other |
| 2022-01-05 | Successful 2022-01-26 |
Other |
Free text
Release 10 — day 28, dose 2, dependent
Symptoms: Chills/ fever to 106/ positive Covid-19 test today/ congestion/ runny nose/ sneezing
Release 10 — day 35, dose 2, dependent
Symptoms: She tested positive for Covid-19 rapid test 12/29/21 and 01/03/22. Symptoms started 12/28/21. She had 2 negative PCR tests done 12/17/21 & 12/23/21. Exposed to positive close contact 12/24 & 25 (who was unaware, asymptomatic at the time).
Healthcare visit (other): Urgent care test visit
Release 12 — day 14, dose 3, dependent
Symptoms: Diagnosed with Influenza A November 14-16th. Not related to Covid vaccine.
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 | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release