3BE-20855-44441
3 vaccinations
8 coded responses
14 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 021 / MA
- Registered
- 2021-12-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-14
Dose 1 — Pfizer-BioNTech
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2021-05-05
Dose 2 — Pfizer-BioNTech
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2021-12-08
Dose 3 — Pfizer-BioNTech
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2021-12-09
Registered in v-safe
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2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate irregular — Feeling: Good · Site: PainFree text: Cramming on the left side of my chest in the late afternoonlike having an irregular heart beat.MedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: GoodFree text: Elevated heart beat rate at 71 bpm compared to 65 bpm last night. I normally had 56-59 bpm or lower at rest.MedDRA releases: 2024-11 · check-in free text available
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2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Muscle spasms — Feeling: GoodFree text: A short episode of "heavy heart" like cramping in my left chest. My heart rate was 59 bpm.MedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: GoodFree text: Heart rate at 66 bpm. It's a little higher than usual prior to receiving the booster.MedDRA releases: 2024-11 · check-in free text available
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2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Heart rate 59 bpm.MedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Heart rate at 56 bpmMedDRA releases: 2024-11 · check-in free text available
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2021-12-15
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Heart rate at 52 bpmMedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2021-12-29
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2022-01-07
Survey response — day 28, dose 3MedDRA: Headache — Feeling: PoorFree text: Headache two days ago on Wednesday 1/5/2022.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
- 2022-01-19
- 2022-03-09
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Pfizer-BioNTech | No |
| 2 | 2021-05-05 | Pfizer-BioNTech | No |
| 3 | 2021-12-08 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cramming on the left side of my chest in the late afternoonlike having an irregular heart beat.
Systemic reaction (other): Elevated heart beat rate at 71 bpm compared to 65 bpm last night. I normally had 56-59 bpm or lower at rest.
Systemic reaction (other): A short episode of "heavy heart" like cramping in my left chest. My heart rate was 59 bpm.
Systemic reaction (other): Heart rate at 66 bpm. It's a little higher than usual prior to receiving the booster.
Systemic reaction (other): Heart rate 59 bpm.
Systemic reaction (other): Heart rate at 56 bpm
Release 10 — day 7, dose 3
Systemic reaction (other): Heart rate at 52 bpm
Release 10 — day 28, dose 3
Symptoms: Headache two days ago on Wednesday 1/5/2022.
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 | Headache | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release