YEJ-18156-79835
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 720 / AR
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- MR8-15844-08122
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-14
Registered in v-safe
-
2021-11-14
Dose 1 — Pfizer-BioNTech
-
2021-11-14
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain, Swelling · NoneAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-16
- 2021-11-18
-
2021-11-28
Survey response — day 14, dose 1, dependentMedDRA: Cough, Influenza, Nasal congestion, Nausea, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I believe (b)(6) has the flu. She has nasal congestion, fever, cough and nausea. I gave her a home covid test and it came back negative.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Survey response — day 21, dose 1, dependentMedDRA: Influenza virus test negative, Malaise, Office visit, Pneumonia, Pyrexia, SARS-CoV-2 test negative — 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 professional · Outpatient clinic or urgent care clinic visitFree text: Xena has been sick for about a week & half. Fever as high as 103.4. Negative strep test. Negative flu test. Negative covid test. Dr decided to treat her for pneumonia starting on Tuesday. Yesterday (Saturday) was her 1st fever free day.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Report sent to call center — day 21, 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)
-
2021-12-07
Dose 2 — Pfizer-BioNTechCo-administered: Flu
- 2021-12-07
- 2021-12-09
- 2021-12-11
- 2021-12-14
- 2021-12-21
- 2021-12-31
- 2022-01-04
- 2022-01-11
- 2022-01-20
- 2022-03-08
-
2022-12-07
Survey response — 12 months, dose 2, dependentMedDRA: Malaise, Pyrexia, Vomiting — Feeling: Poor · 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: Today she is having vomiting and low grade fever. She has been mildly sick every couple weeks for the last few months.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-07
Report sent to call center — 12 months, dose 2, 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)
- 2022-12-08
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-07 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-05 | Unsuccessful | |
| 2022-12-07 | Unsuccessful |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: I believe (b)(6) has the flu. She has nasal congestion, fever, cough and nausea. I gave her a home covid test and it came back negative.
redacted (b)(6)
Release 10 — day 21, dose 1, dependent
Symptoms: Xena has been sick for about a week & half. Fever as high as 103.4. Negative strep test. Negative flu test. Negative covid test. Dr decided to treat her for pneumonia starting on Tuesday. Yesterday (Saturday) was her 1st fever free day.
Release 12 — 12 months, dose 2, dependent
Symptoms: Today she is having vomiting and low grade fever. She has been mildly sick every couple weeks for the last few months.
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 | Cough | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release