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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

  1. 2021-11-14
    Registered in v-safe
  2. 2021-11-14
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-14
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-11-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-11-16
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-18
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-28
    Survey response — day 14, dose 1, dependent
    MedDRA: 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 activities
    Free 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
  8. 2021-12-05
    Survey response — day 21, dose 1, dependent
    MedDRA: 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 visit
    Free 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
  9. 2021-12-05
    Report sent to call center — day 21, dose 1, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2021-12-07
    Dose 2 — Pfizer-BioNTech
    Co-administered: Flu
  11. 2021-12-07
  12. 2021-12-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-12-11
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-14
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-21
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2021-12-31
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-01-04
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-01-11
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-01-20
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-03-08
  21. 2022-12-07
    Survey response — 12 months, dose 2, dependent
    MedDRA: 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 visit
    Free 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
  22. 2022-12-07
    Report sent to call center — 12 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-12-08
  24. 2022-12-08

Vaccinations

DoseDateManufacturerCo-administered
12021-11-14Pfizer-BioNTech No
22021-12-07Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2021-12-05 Unsuccessful
2022-12-07 Unsuccessful

Free text

Release 10 — day 14, dose 1, dependent

2021-11-28

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

2021-12-05

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

2022-12-07

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDInfluenza · · ✓
SDInfluenza virus test negative · · ✓
SDMalaise · · ✓
SDNasal congestion · · ✓
SDNausea · · ✓
SDOffice visit · · ✓
SDPneumonia · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SDVomiting · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release