Z9Y-16873-03617
3 vaccinations
2 coded responses
21 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 374 / TN
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- UCA-22758-70173
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Dose 1 — Pfizer-BioNTech
-
2022-06-29
Registered in v-safe
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-06
- 2022-07-11
- 2022-07-18
-
2022-07-21
Dose 2 — Pfizer-BioNTech
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
-
2022-08-04
Survey response — day 14, dose 2, dependentMedDRA: Pyrexia, Respiratory tract congestion — Feeling: GoodFree text: Congestion and feverMedDRA releases: 2024-11 · check-in free text available
-
2022-08-11
Survey response — day 21, dose 2, dependentMedDRA: Cough, Nasal congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Nasal congestion and coughMedDRA releases: 2024-11 · check-in free text available
-
2022-08-11
Report sent to call center — day 21, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-20
- 2022-08-27
- 2022-09-03
-
2022-10-01
Dose 3 — Pfizer-BioNTech
- 2022-10-20
- 2022-11-01
- 2022-11-05
- 2022-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Pfizer-BioNTech | No |
| 2 | 2022-07-21 | Pfizer-BioNTech | No |
| 3 | 2022-10-01 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 14, dose 2, dependent
Symptoms: Congestion and fever
Release 12 — day 21, dose 2, dependent
Symptoms: Nasal congestion and cough
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 | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release