YJ4-28168-07769
2 vaccinations
1 coded response
9 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 601 / IL
- Registered
- 2021-11-13
- Relationship
- Child or adolescent in my care
- Guardian
- 2SL-32942-30929
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Dose 1 — Pfizer-BioNTech
-
2021-11-13
Registered in v-safe
- 2021-11-13
- 2021-11-17
- 2021-11-18
-
2021-12-02
Survey response — day 21, dose 1, dependentMedDRA: Cough, Pyrexia, 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 professional · Telehealth, virtual health, or email health consultationFree text: Fever, cough, congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-06
-
2021-12-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-10
-
2021-12-16
Dose 2 — Pfizer-BioNTech
- 2021-12-26
- 2022-01-01
- 2022-01-14
- 2022-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-16 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 21, dose 1, dependent
Symptoms: Fever, cough, congestion
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 | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release