Z5J-33039-58459
2 vaccinations
2 coded responses
17 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 370 / TN
- Registered
- 2021-12-02
- Relationship
- Child or adolescent in my care
- Guardian
- E4E-69376-67418
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-27
Dose 1 — Pfizer-BioNTech
-
2021-12-02
Registered in v-safe
- 2021-12-02
- 2021-12-03
- 2021-12-06
-
2021-12-13
Survey response — day 14, dose 1, dependentMedDRA: Ear infection, Eye infection, Nasopharyngitis, Unevaluable event — Feeling: Fair · Be unable to work or attend schoolFree text: Cold/sinus, ear, and eye infectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Dose 2 — Pfizer-BioNTech
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-24
- 2021-12-25
- 2022-01-08
- 2022-01-17
- 2022-01-22
- 2022-01-29
- 2022-06-18
-
2022-12-18
Survey response — 12 months, dose 2, dependentMedDRA: Streptococcal infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had strep for the first time ever?MedDRA releases: 2024-11 · check-in free text available
-
2022-12-18
Report sent to call center — 12 months, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-19
-
2022-12-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-27 | Pfizer-BioNTech | No |
| 2 | 2021-12-18 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Cold/sinus, ear, and eye infection
Release 12 — 12 months, dose 2, dependent
Symptoms: Had strep for the first time ever?
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 | Ear infection | · | · | ✓ |
| SD | Eye infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release