3NU-21569-74440
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 890 / NV
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Registered in v-safe
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: GoodFree text: I was very tired last night, but OK so far today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pyrexia — Feeling: GoodFree text: Had a tiny fever last night... 99.1, but none today. Also hurts a bit under ears... lymph nodes or glands maybe...also mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease, Ventricular extrasystoles — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I take Verapamil for heart PVCs. They were greatly increased during the night & today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
-
2021-03-04
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: I had a slight dull headache for several days that went away couple days ago. Not sure if its related to vaccine in any way.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
-
2021-03-18
Survey response — day 35, dose 2MedDRA: Ear pain — Feeling: GoodFree text: Ive had the sore glands under my ears again, but not sure if related to the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
-
2021-08-14
Survey response — 6 months, dose 2MedDRA: Arrhythmia, Condition aggravated, Laboratory test abnormal, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I previously had heart PVCs. They became much worse for many weeks after the 2nd vaccine dose even tho I take meds for them. Then they simply went away with no explanation! I had cardiology tests showing the arrhythmias. May or may not be related! · Healthcare visit (other): Cardiac testsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-14
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-21
- 2021-08-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I was very tired last night, but OK so far today.
Systemic reaction (other): Had a tiny fever last night... 99.1, but none today. Also hurts a bit under ears... lymph nodes or glands maybe...also mild.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I take Verapamil for heart PVCs. They were greatly increased during the night & today.
Release 5 — day 21, dose 2
Symptoms: I had a slight dull headache for several days that went away couple days ago. Not sure if its related to vaccine in any way.
Release 5 — day 35, dose 2
Symptoms: Ive had the sore glands under my ears again, but not sure if related to the shot.
Release 9 — 6 months, dose 2
Symptoms: I previously had heart PVCs. They became much worse for many weeks after the 2nd vaccine dose even tho I take meds for them. Then they simply went away with no explanation! I had cardiology tests showing the arrhythmias. May or may not be related!
Healthcare visit (other): Cardiac tests
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Arrhythmia | ✓ | · | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Laboratory test abnormal | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Ventricular extrasystoles | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release