Z97-22863-90033
2 vaccinations
1 coded response
2 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 808 / CO
- Registered
- 2022-01-27
- Relationship
- Child or adolescent in my care
- Guardian
- J8T-22843-09715
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-01-05
Dose 1 — Pfizer-BioNTech
-
2022-01-26
Dose 2 — Pfizer-BioNTech
-
2022-01-27
Registered in v-safe
-
2022-01-27
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — days 1–6 daily, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2022-01-28
Call successfulDoes not wish to fill out VAERS report
- 2022-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-05 | Pfizer-BioNTech | No |
| 2 | 2022-01-26 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 11 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): 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 |
|---|---|---|---|---|
| SRO | Chest pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release