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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

  1. 2022-01-05
    Dose 1 — Pfizer-BioNTech
  2. 2022-01-26
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-27
    Registered in v-safe
  4. 2022-01-27
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: 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 visit
    Free text: Chest pain
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-01-27
    Report sent to call center — days 1–6 daily, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  6. 2022-01-28
    Call successful
    Does not wish to fill out VAERS report
  7. 2022-01-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-01-05Pfizer-BioNTech No
22022-01-26Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — days 1–6 daily, dose 2, dependent

2022-01-27

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

FieldPreferred term2021-092023-042024-11
SROChest pain · · ✓

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