3V9-79621-35275
3 vaccinations
4 coded responses
10 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Dose 1 — Pfizer-BioNTech
-
2021-03-07
Registered in v-safe
-
2021-03-07
Dose 2 — Pfizer-BioNTech
- 2021-03-07
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-13
-
2021-03-23
Survey response — day 14, dose 2MedDRA: Angioplasty, Coronary artery occlusion, Emergency care, Myocardial infarction, Stent placement — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: I had a heart attack on 3/21 - 100% blockage of the LAD. Angioplasty with stent, home on 3/23. · Healthcare visit (other): 911 called and transported to ERMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-28
Survey response — day 21, dose 2MedDRA: Catheterisation cardiac, Catheterisation cardiac abnormal, Coronary arterial stent insertion, Coronary artery occlusion, Myocardial infarction, Stent placement — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Heart attack 3/21/21 -100% blockage of LAD cleared with catheterization and stent.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-09
Survey response — day 28, dose 2MedDRA: Arthralgia, Dizziness, Neck pain — Feeling: FairFree text: Light-headed, shoukder/neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Myocardial infarction, Oropharyngeal pain — Feeling: FairFree text: Today is day 6 after getting the booster. I have a sore throat today. I've had no other symptoms. I DID have a heart attack two weeks after receiving the second shotMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-12-16
-
2021-12-16
Callback requested for05:00PM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Pfizer-BioNTech | |
| 2 | 2021-03-07 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — day 14, dose 2
Symptoms: I had a heart attack on 3/21 - 100% blockage of the LAD. Angioplasty with stent, home on 3/23.
Healthcare visit (other): 911 called and transported to ER
Release 6 — day 21, dose 2
Symptoms: Heart attack 3/21/21 -100% blockage of LAD cleared with catheterization and stent.
Release 7 — day 28, dose 2
Symptoms: Light-headed, shoukder/neck pain
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Today is day 6 after getting the booster. I have a sore throat today. I've had no other symptoms. I DID have a heart attack two weeks after receiving the second shot
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Angioplasty | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Catheterisation cardiac | ○ | ✓ | ○ |
| SD | Catheterisation cardiac abnormal | ✓ | · | ✓ |
| SD | Coronary arterial stent insertion | ✓ | · | ✓ |
| SD | Coronary artery occlusion | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Myocardial infarction | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Stent placement | ✓ | ✓ | ✓ |
| SRO | Myocardial infarction | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release