384-10926-85547
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 076 / NJ
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Dose 1 — Pfizer-BioNTech
-
2020-12-31
Registered in v-safe
-
2020-12-31
Survey response — day 7, dose 1MedDRA: Palpitations — Feeling: Fair · Fatigue or tirednessFree text: PalpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — day 14, dose 1MedDRA: Office visit, Palpitations, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Palpitations I have mitral valve prolapse and gas not had any palpitations for 9 y was es until the day after the vaccination and still continuing I am waiting for a heart monitor now · Healthcare visit (other): Doctors officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-14
-
2021-01-15
Dose 2 — Pfizer-BioNTech
-
2021-01-28
Survey response — day 7, dose 2MedDRA: Palpitations — Feeling: GoodFree text: PalpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — day 14, dose 2MedDRA: Palpitations — Feeling: FairFree text: Palpitations. Onset following first vaccine doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-04-16
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2021-07-16
Survey response — 6 months, dose 2MedDRA: Blood thyroid stimulating hormone increased, Condition aggravated, Dry skin, Fatigue, Myalgia, Neuropathy peripheral, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fatigue and muscle aches due to rise inTSHHad test 1 week pre vaccine and TSH increased greatly. Increase in meds resolved situation Increase in dryness, muscle aches and neuropathy related to flare up of Sjogrens Syndrome shortky after vaccineMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-16
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-20
-
2022-01-09
Call successfulDoes not wish to fill out VAERS report
- 2022-01-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Pfizer-BioNTech | |
| 2 | 2021-01-15 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Palpitations
Release 1 — day 14, dose 1
Symptoms: Palpitations I have mitral valve prolapse and gas not had any palpitations for 9 y was es until the day after the vaccination and still continuing I am waiting for a heart monitor now
Healthcare visit (other): Doctors office
Release 2 — day 7, dose 2
Systemic reaction (other): Palpitations
Release 3 — day 14, dose 2
Symptoms: Palpitations. Onset following first vaccine dose
Release 9 — 6 months, dose 2
Symptoms: Fatigue and muscle aches due to rise inTSHHad test 1 week pre vaccine and TSH increased greatly. Increase in meds resolved situation Increase in dryness, muscle aches and neuropathy related to flare up of Sjogrens Syndrome shortky after vaccine
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Blood thyroid stimulating hormone increased | ✓ | · | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Dry skin | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Myalgia | ✓ | · | ✓ |
| SD | Neuropathy peripheral | ✓ | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release