ZD4-26223-28024
1 vaccination
1 coded response
7 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 650 / MO
- Registered
- 2022-12-04
- Relationship
- Child or adolescent in my care
- Guardian
- Y26-28923-31406
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-11-23
Dose 1 — Pfizer-BioNTech
-
2022-12-04
Registered in v-safe
-
2022-12-04
Health check-in — day 7, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-12-07
-
2022-12-14
Survey response — day 21, dose 1, dependentMedDRA: Abdominal pain upper, Fatigue, Headache, Insomnia, Oropharyngeal pain, Productive cough, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Runny nose, sore throat, headache, wet cough, tired but not able to sleep much, stomach ache, fever of 99.8-102.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-14
Report sent to call center — day 21, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-12-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-21
- 2022-12-28
- 2023-01-04
- 2023-05-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-11-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-14 | Successful 2022-12-15 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: Runny nose, sore throat, headache, wet cough, tired but not able to sleep much, stomach ache, fever of 99.8-102.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release