Z3W-32118-86410

3 vaccinations 5 coded responses 27 check-ins 4 free-text entries 3 call cases

Sex: Male
Age at first dose: 0-4
ZIP prefix: 531 / WI
Registered: 2022-06-28

Relationship: Child or adolescent in my care
Guardian: B2R-23264-26974
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2022-06-28
Registered in v-safe
2022-06-28
Dose 1 — Pfizer-BioNTech
2022-06-28
Health check-in — day 0, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-29
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-06-30
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-01
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-02
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · Loss of appetite

Under 3 check-in
2022-07-03
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-04
Health check-in — days 1–6 daily, dose 1, under 3
Feeling: Good · None

Under 3 check-in
2022-07-05
Survey response — day 7, dose 1, under 3
MedDRA: Headache — Feeling: Fair · Sleepiness, Irritability/crying

Free text: Headache

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Survey response — day 14, dose 1, under 3
MedDRA: Urticaria — Feeling: Good

Free text: Hives on his face that come and go

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Dose 2 — Pfizer-BioNTech
2022-07-19
Health check-in — day 0, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-07-20
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Irritability/crying

Under 3 check-in
2022-07-21
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Fair · Sleepiness

Under 3 check-in
2022-07-24
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-07-25
Health check-in — days 1–6 daily, dose 2, under 3
Feeling: Good · None

Under 3 check-in
2022-07-26
Health check-in — day 7, dose 2, under 3
Feeling: Good · Loss of appetite

Under 3 check-in
2022-08-02
Health check-in — day 14, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-09
Health check-in — day 21, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-16
Health check-in — day 28, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-23
Health check-in — day 35, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-08-30
Health check-in — day 42, dose 2, under 3
Feeling: Good

Under 3 check-in
2022-09-13
Dose 3 — Pfizer-BioNTech
2022-10-01
Health check-in — day 14, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-10-04
Health check-in — day 21, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-10-11
Survey response — day 28, dose 3, under 3
MedDRA: Dysphonia, Irritability, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cold symptoms, hoarse voice, fussiness, no fever

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Report sent to call center — day 28, dose 3, under 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-18
Health check-in — day 35, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-10-25
Health check-in — day 42, dose 3, under 3
Feeling: Good

Under 3 check-in
2022-12-13
Survey response — 3 months, dose 3, under 3
MedDRA: Nasopharyngitis, Office visit — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Suspected cold or possible ear infection · Healthcare visit (other): Saw own pediatrician

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Report sent to call center — 3 months, dose 3, under 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-14
Survey response — 6 months, dose 3, under 3
MedDRA: Gastroenteritis viral, Nasopharyngitis, Office visit, Pre-existing disease — Feeling: Good · 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

MedDRA releases: 2024-11
2023-03-14
Report sent to call center — 6 months, dose 3, under 3
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)
2023-03-15
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-28	Pfizer-BioNTech	No
2	2022-07-19	Pfizer-BioNTech	No
3	2022-09-13	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 12 (Under 3) — day 7, dose 1, under 3

2022-07-05

Systemic reaction (other): Headache

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

2022-07-14

Symptoms: Hives on his face that come and go

Release 12 (Under 3) — day 28, dose 3, under 3

2022-10-11

Symptoms: Cold symptoms, hoarse voice, fussiness, no fever

Release 12 (Under 3) — 3 months, dose 3, under 3

2022-12-13

Symptoms: Suspected cold or possible ear infection

Healthcare visit (other): Saw own pediatrician

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	Dysphonia	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Irritability	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Urticaria	·	·	✓
SRO	Headache	·	·	✓

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