3L3-27718-99926
2 vaccinations
5 coded responses
5 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-22
Registered in v-safe
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2021-02-22
Dose 1 — Pfizer-BioNTech
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2021-03-15
Dose 2 — Pfizer-BioNTech
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2021-03-30
Survey response — day 14, dose 2MedDRA: Flatulence, Gastric disorder, Insomnia — Feeling: FairFree text: Could not sleep for whole night yesterday, a week after 2nd dose. Also stomach problem, lots of gasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 35, dose 2MedDRA: Chest pain, Herpes zoster — Feeling: Poor · Be unable to do your normal daily activitiesFree text: After vaccinate i had chest pain for week on 2nd and 1st vaccine. I also had shingle. On my left hand and 2nd fingerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — day 42, dose 2MedDRA: Angina pectoris — Feeling: FairFree text: As i mentioned before i had constant pain for 3-4 days by heart after vaccinate, which is explained by Isreali study today as Myocarditis. Please see in drudgereport.comMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Survey response — 3 months, dose 2MedDRA: Chest pain, Inflammation, Myocarditis — Feeling: FairFree text: Myocarditis inflammation pain on heart stay few days after 2nd dose. Maybe after 1st dose tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-14
Survey response — 6 months, dose 2MedDRA: Angina pectoris, Carditis, Myocarditis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Myocarditis. Heart inflammation and heart pain · Healthcare visit (other): I did not go as i was not sure if wss inflammation or body ache. Israeli study clarify this wss MyocarditisMedDRA releases: 2024-11 · check-in free text available
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2021-09-14
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)
- 2021-09-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Pfizer-BioNTech | |
| 2 | 2021-03-15 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 14, dose 2
Symptoms: Could not sleep for whole night yesterday, a week after 2nd dose. Also stomach problem, lots of gas
Release 7 — day 35, dose 2
Symptoms: After vaccinate i had chest pain for week on 2nd and 1st vaccine. I also had shingle. On my left hand and 2nd finger
Release 8 — day 42, dose 2
Symptoms: As i mentioned before i had constant pain for 3-4 days by heart after vaccinate, which is explained by Isreali study today as Myocarditis. Please see in drudgereport.com
Release 9 — 3 months, dose 2
Symptoms: Myocarditis inflammation pain on heart stay few days after 2nd dose. Maybe after 1st dose too
Release 9 — 6 months, dose 2
Symptoms: Myocarditis. Heart inflammation and heart pain
Healthcare visit (other): I did not go as i was not sure if wss inflammation or body ache. Israeli study clarify this wss Myocarditis
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 | Myocarditis | · | · | ✓ |
| SD | Angina pectoris | ✓ | ✓ | ✓ |
| SD | Carditis | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Myocarditis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release