9ZX-10754-86190
1 vaccination
1 coded response
12 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 852 / AZ
- Registered
- 2021-06-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-10
Dose 1 — Pfizer-BioNTech
-
2021-06-14
Registered in v-safe
- 2021-06-14
- 2021-06-15
- 2021-06-16
- 2021-06-17
- 2021-06-24
-
2021-07-01
Survey response — day 21, dose 1MedDRA: Chest pain, Hospitalisation, Pericarditis, Thrombosis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Left sided chest pain. Hospital admission for rule out of blood clot. Cardiologist diagnosis of pericarditisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-01
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-06
-
2021-07-06
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-08
- 2021-07-15
- 2021-07-23
- 2021-09-09
- 2021-12-09
- 2022-06-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-10 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 9 — day 21, dose 1
Symptoms: Left sided chest pain. Hospital admission for rule out of blood clot. Cardiologist diagnosis of pericarditis
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Pericarditis | ✓ | ✓ | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release