V43-52435-22545
2 vaccinations
1 coded response
5 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 494 / MI
- Registered
- 2021-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- 5WY-10620-89037
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-14
Dose 1 — Pfizer-BioNTech
-
2021-06-04
Dose 2 — Pfizer-BioNTech
-
2021-06-23
Registered in v-safe
-
2021-06-23
Survey response — day 14, dose 2, dependentMedDRA: Chest pain, Confusional state, Dizziness, Paraesthesia, Troponin increased, Urticaria — Feeling: Poor · Be unable to work or attend school, Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Hives. All over body. Started Monday 6/21. Elevated troponin T high sensitivity - bloodwork and ER. Dizziness, confusion, tingling in fingers and arms. Chest pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-23
Report sent to call center — day 14, dose 2, dependentBe unable to work or attend school · Be unable to do their normal daily activities · Get care from a doctor or other healthcare p1 call case(s)
- 2021-06-25
-
2021-06-28
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-07-02
- 2021-07-09
- 2021-07-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-14 | Pfizer-BioNTech | No |
| 2 | 2021-06-04 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — day 14, dose 2, dependent
Symptoms: Hives. All over body. Started Monday 6/21. Elevated troponin T high sensitivity - bloodwork and ER. Dizziness, confusion, tingling in fingers and arms. 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 |
|---|---|---|---|---|
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Confusional state | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Troponin increased | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release