ZE4-31599-68224
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 189 / PA
- Registered
- 2021-11-23
- Relationship
- Child or adolescent in my care
- Guardian
- YQ7-28689-81343
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-22
Dose 1 — Pfizer-BioNTech
-
2021-11-23
Registered in v-safe
-
2021-11-23
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-24
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-25
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-26
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Itching · NoneAdult check-in
- 2021-11-27
- 2021-11-28
- 2021-12-01
-
2021-12-06
Survey response — day 14, dose 1, dependentMedDRA: Cough, Nasopharyngitis — Feeling: FairFree text: Cough/cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-13
Dose 2 — Pfizer-BioNTech
-
2021-12-13
Health check-in — day 0, dose 2, dependentFeeling: Fair · Site: Pain · Abdominal painAdult check-in
-
2021-12-14
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-15
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-12-15
Report sent to call center — days 1–6 daily, dose 2, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-16
-
2021-12-16
Call successfulDoes not wish to fill out VAERS report
- 2021-12-17
- 2021-12-18
-
2021-12-19
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-01-17
-
2022-01-24
Survey response — day 42, dose 2, dependentMedDRA: Dizziness — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chronic dizzinessMedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Report sent to call center — day 42, dose 2, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-25
Call successfulDoes not wish to fill out VAERS report
- 2022-03-14
- 2022-06-15
- 2022-12-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-22 | Pfizer-BioNTech | No |
| 2 | 2021-12-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-15 | Successful 2021-12-16 |
Does not wish to fill out VAERS report |
| 2022-01-24 | Successful 2022-01-25 |
Does not wish to fill out VAERS report |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Cough/cold symptoms
Release 11 — day 42, dose 2, dependent
Symptoms: Chronic dizziness
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 | Dizziness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release