PER-31000-19350
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 655 / MO
- Registered
- 2021-10-28
- Relationship
- Adult relative or friend
- Guardian
- DK4-23376-85915
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-28
Dose 1 — Pfizer-BioNTech
-
2021-06-12
Dose 2 — Pfizer-BioNTech
-
2021-10-28
Registered in v-safe
-
2021-12-12
Survey response — 6 months, dose 2, dependentMedDRA: Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart palpitation · Healthcare visit (other): Feeling concerned and want to talk to the doctorMedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Report sent to call center — 6 months, dose 2, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2021-12-13
-
2022-06-12
Survey response — 12 months, dose 2, dependentMedDRA: Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Severe Chest painMedDRA releases: 2024-11 · check-in free text available
-
2022-06-12
Report sent to call center — 12 months, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-06-13
Call successfulCompleted over the phone
-
2022-06-13
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-28 | Pfizer-BioNTech | No |
| 2 | 2021-06-12 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 10 — 6 months, dose 2, dependent
Symptoms: Heart palpitation
Healthcare visit (other): Feeling concerned and want to talk to the doctor
Release 12 — 12 months, dose 2, dependent
Symptoms: Severe Chest pain
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release