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
-
2021-05-14
Dose 1 — Pfizer-BioNTech
-
2021-06-04
Dose 2 — Pfizer-BioNTech
-
2022-01-11
Dose 3 — Pfizer-BioNTech
-
2022-01-13
Registered in v-safe
-
2022-01-13
Survey response — days 1–6 daily, dose 3, dependentMedDRA: 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 visitFree 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
-
2022-01-13
Report sent to call center — days 1–6 daily, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-14
- 2022-01-14
- 2022-01-15
- 2022-01-16
- 2022-01-17
- 2022-01-18
- 2022-01-19
-
2022-01-19
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-25
- 2022-02-02
- 2022-02-08
- 2022-02-17
- 2022-02-22
- 2022-04-18
- 2022-07-12
- 2023-01-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-14 | Pfizer-BioNTech | No |
| 2 | 2021-06-04 | Pfizer-BioNTech | No |
| 3 | 2022-01-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | C-reactive protein increased | · | · | ✓ |
| HCVO | Pain | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Painful respiration | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release