YWF-39398-68148

3 vaccinations 7 coded responses 30 check-ins 6 free-text entries 2 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 853 / AZ
Registered: 2022-06-23

Relationship: Child or adolescent in my care
Guardian: YL3-21464-23816
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-06-23
Registered in v-safe
2022-06-30
Dose 1 — Pfizer-BioNTech
2022-06-30
Health check-in — day 0, dose 1, under 3
Feeling: Good · Site: Redness · None

Under 3 check-in
2022-07-01
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Irritability/crying, Rash, not including the immediate area around the injection site

Under 3 check-in
2022-07-02
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Fever · Irritability/crying

Under 3 check-in
2022-07-04
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Fever · Sleepiness, Diarrhea

Under 3 check-in
2022-07-06
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Fair · Fever · Sleepiness, Irritability/crying · Be unable to work or attend school

Under 3 check-in
2022-07-07
Health check-in — day 7, dose 1, under 3
Feeling: Fair · Fever · Irritability/crying

Under 3 check-in
2022-07-14
Survey response — day 14, dose 1, under 3
MedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear Infection

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Report sent to call center — day 14, dose 1, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-15
Call 1 — Left Voicemail
2022-07-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-20
Dose 2 — Pfizer-BioNTech
Co-administered: Hepatitis A
2022-07-22
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Abdominal pain — Feeling: Good

Free text: (b)(6) reported a tummy ache around 7:30 am. Was happy and nothing else seemed to bother him.

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Fever · Irritability/crying

Under 3 check-in
2022-07-24
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Survey response — days 1–6 daily, dose 2, under 3
MedDRA: Insomnia — Feeling: Fair

Free text: Trouble sleeping last night

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-07-27
Health check-in — day 7, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-08-03
Health check-in — day 14, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-10
Health check-in — day 21, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-17
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-24
Survey response — day 35, dose 2, under 3
MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, wet cough, mild fever

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Survey response — day 42, dose 2, under 3
MedDRA: Ear pain, Office visit, Productive cough, Pyrexia, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ear ache, wet cough, congestion, low grade fever. · Healthcare visit (other): General pediatrician dr appointment this afternoon - 8/31

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Report sent to call center — day 42, dose 2, under 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-02
Call 1 — Left Voicemail
2022-09-21
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-09-23
Health check-in — days 1–6 daily, dose 3, under 3
Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Under 3 check-in
2022-09-25
Health check-in — days 1–6 daily, dose 3, under 3
Feeling: Good · None

Under 3 check-in
2022-09-26
Health check-in — days 1–6 daily, dose 3, under 3
Feeling: Good · None

Under 3 check-in
2022-09-27
Health check-in — days 1–6 daily, dose 3, under 3
Feeling: Good · None

Under 3 check-in
2022-09-28
Health check-in — day 7, dose 3, under 3
Feeling: Good · Rash, not including the immediate area around the injection site

Under 3 check-in
2022-10-05
Health check-in — day 14, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-10-12
Health check-in — day 21, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-10-19
Health check-in — day 28, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-10-28
Health check-in — day 35, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-11-04
Health check-in — day 42, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-12-21
Health check-in — 3 months, dose 3, under 3
Feeling: Good

Under 3 check-in
2023-03-22
Survey response — 6 months, dose 3, under 3
MedDRA: Eye discharge, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-30	Pfizer-BioNTech	No
2	2022-07-20	Pfizer-BioNTech	Hepatitis A
3	2022-09-21	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-07-14	Successful 2022-07-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31	Unsuccessful

Free text

Release 12 (Under 3) — day 14, dose 1, under 3

2022-07-14

Symptoms: Ear Infection

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-07-22

Systemic reaction (other): (b)(6) reported a tummy ache around 7:30 am. Was happy and nothing else seemed to bother him.

redacted (b)(6)

2022-07-24

Systemic reaction (other): Runny nose

2022-07-25

Systemic reaction (other): Trouble sleeping last night

Release 12 (Under 3) — day 35, dose 2, under 3

2022-08-24

Symptoms: Runny nose, wet cough, mild fever

Release 12 (Under 3) — day 42, dose 2, under 3

2022-08-31

Symptoms: Ear ache, wet cough, congestion, low grade fever.

Healthcare visit (other): General pediatrician dr appointment this afternoon - 8/31

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	Cough	·	·	✓
SD	Ear infection	·	·	✓
SD	Ear pain	·	·	✓
SD	Eye discharge	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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