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XEB-18693-55827

2 vaccinations 4 coded responses 8 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
21-25
ZIP prefix
300 / GA
Registered
2021-06-27
Relationship
Adult relative or friend
Guardian
Y8E-33144-46886
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-24
    Dose 2 — Pfizer-BioNTech
  3. 2021-06-27
    Registered in v-safe
  4. 2021-06-27
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Chest pain, Costochondritis — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Chest pain that started the day after the 2nd dose; was diagnosed today with costochondritis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-27
    Report sent to call center — days 1–6 daily, dose 2, dependent
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-06-28
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Chest discomfort, Inflammation — Feeling: Good
    Free text: Still having discomfort in chest from inflammation, but its better than yesterday (since hes an taking anti-inflammatory prescription for it).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-30
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Chest discomfort — Feeling: Fair · Be unable to do their normal daily activities
    Free text: Chest tightness & inflammation from Costochondritis (post-vax)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-07-01
    Survey response — day 7, dose 2, dependent
    MedDRA: Chest discomfort, Costochondritis — Feeling: Fair
    Free text: Still having tightness & discomfort in chest due to costochondritis, which started the day after his 2nd Pfizer dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-01
  10. 2021-07-08
    Health check-in — day 14, dose 2, dependent
    Feeling: Fair
    Adult check-in
  11. 2021-07-24
    Health check-in — day 28, dose 2, dependent
    Feeling: Fair
    Adult check-in
  12. 2021-07-29
    Health check-in — day 35, dose 2, dependent
    Feeling: Fair
    Adult check-in
  13. 2021-08-05
    Health check-in — day 42, dose 2, dependent
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-03Pfizer-BioNTech No
22021-06-24Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-06-27 Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 2, dependent

2021-06-27

Systemic reaction (other): Chest pain that started the day after the 2nd dose; was diagnosed today with costochondritis.

2021-06-28

Systemic reaction (other): Still having discomfort in chest from inflammation, but its better than yesterday (since hes an taking anti-inflammatory prescription for it).

2021-06-30

Systemic reaction (other): Chest tightness & inflammation from Costochondritis (post-vax)

Release 9 — day 7, dose 2, dependent

2021-07-01

Systemic reaction (other): Still having tightness & discomfort in chest due to costochondritis, which started the day after his 2nd Pfizer dose.

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
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROCostochondritis ✓ ✓ ✓
SROInflammation ✓ ✓ ✓

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