5MA-21317-29716
3 vaccinations
1 coded response
23 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 782 / TX
- Registered
- 2021-08-17
- Relationship
- Child or adolescent in my care
- Guardian
- 42C-32676-12953
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-07-19
Dose 1 — Pfizer-BioNTech
-
2021-08-13
Dose 2 — Pfizer-BioNTech
-
2021-08-17
Registered in v-safe
-
2021-08-17
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Palpitations — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: On The second day of his second dose he had like heart palpitationsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-17
Report sent to call center — days 1–6 daily, dose 2, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
- 2021-08-19
- 2021-08-20
- 2021-08-24
- 2021-08-30
- 2021-09-05
- 2021-09-12
- 2021-09-17
- 2021-09-25
- 2021-11-12
-
2022-02-11
Dose 3 — Pfizer-BioNTech
- 2022-02-11
-
2022-02-12
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fever · Headache, NauseaAdult check-in
- 2022-02-15
- 2022-02-16
-
2022-02-17
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-02-18
- 2022-02-25
- 2022-03-06
- 2022-03-11
- 2022-03-20
- 2022-05-14
- 2022-08-14
- 2023-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-19 | Pfizer-BioNTech | No |
| 2 | 2021-08-13 | Pfizer-BioNTech | No |
| 3 | 2022-02-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-17 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): On The second day of his second dose he had like heart palpitations
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 |
|---|---|---|---|---|
| SRO | Palpitations | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release