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SDC-10983-82561

3 vaccinations 1 coded response 14 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
12-15
ZIP prefix
549 / WI
Registered
2022-01-13
Relationship
Child or adolescent in my care
Guardian
64T-49374-27902
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-04
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-11
    Dose 3 — Pfizer-BioNTech
  4. 2022-01-13
    Registered in v-safe
  5. 2022-01-13
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: C-reactive protein increased, Chest pain, Pain, Painful respiration — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Systemic reaction (other): Chest pain, worse when breathing in · Healthcare visit (other): Had blood tests and EKG. C Reactive protein was high but Troponin level was normal. Pain started last night but is gone currently.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-13
    Report sent to call center — days 1–6 daily, dose 3, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  7. 2022-01-14
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-01-14
  9. 2022-01-15
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-01-16
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-01-17
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-01-18
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-01-19
  14. 2022-01-19
    Call successful
    Participant prefers to complete VAERS report online
  15. 2022-01-25
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2022-02-02
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  17. 2022-02-08
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  18. 2022-02-17
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  19. 2022-02-22
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  20. 2022-04-18
  21. 2022-07-12
  22. 2023-01-15

Vaccinations

DoseDateManufacturerCo-administered
12021-05-14Pfizer-BioNTech No
22021-06-04Pfizer-BioNTech No
32022-01-11Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3, dependent

2022-01-13

Systemic reaction (other): Chest pain, worse when breathing in
Healthcare visit (other): Had blood tests and EKG. C Reactive protein was high but Troponin level was normal. Pain started last night but is gone currently.

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

FieldPreferred term2021-092023-042024-11
HCVOC-reactive protein increased · · ✓
HCVOPain · · ✓
SROChest pain · · ✓
SROPainful respiration · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release