Z64-21847-17334
2 vaccinations
2 coded responses
5 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 291 / SC
- Registered
- 2023-03-22
- Relationship
- Child or adolescent in my care
- Guardian
- WS7-21443-77695
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2023-02-17
Dose 1 — Pfizer-BioNTech
-
2023-03-13
Dose 2 — Pfizer-BioNTech
-
2023-03-22
Registered in v-safe
- 2023-03-22
-
2023-04-05
Survey response — day 21, dose 2, under 3MedDRA: Croup infectious, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-05
Report sent to call center — day 21, dose 2, under 3Be 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)
-
2023-04-06
Call successfulCompleted over the phone
- 2023-04-12
- 2023-04-17
-
2023-06-12
Survey response — 3 months, dose 2, under 3MedDRA: Nasopharyngitis, Pyrexia, Rash — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-02-17 | Pfizer-BioNTech | No |
| 2 | 2023-03-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-05 | Successful 2023-04-06 |
Completed over the phone |
Free text
None.
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 | Croup infectious | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release