46L-31327-65795
2 vaccinations
5 coded responses
7 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 712 / LA
- Registered
- 2020-12-19
- Relationship
- Self
Timeline
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2020-12-18
Dose 1 — Pfizer-BioNTech
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2020-12-19
Registered in v-safe
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2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Possible VTachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-19
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: Cardiac disorder, Pacemaker generated rhythm, Pre-existing disease, Ventricular tachycardia — Feeling: GoodFree text: I had a run of VTach yesterday that was terminated with overdrive pacing. This was the first therapy ever delivered by my ICD.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-21
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): No additional V Tach. Appointment made with cardiologist for Monday · Healthcare visit (other): Scheduled appointment for VTachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-21
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-22
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event, Ventricular tachycardia — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Going Monday to see electrophysiologist regarding ventricular tachycardia episode · Healthcare visit (other): Monday apt with specialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-22
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-23
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Headache, Fatigue or tirednessFree text: Talked to my cardiologist at (b)(6) . They are now thinking arrhythmia may be an SVT instead of VT. Seeing an EP specialist on MondayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-23
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2020-12-23
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2020-12-23
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-01-03
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2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Possible VTach
Systemic reaction (other): I had a run of VTach yesterday that was terminated with overdrive pacing. This was the first therapy ever delivered by my ICD.
Systemic reaction (other): No additional V Tach. Appointment made with cardiologist for Monday
Healthcare visit (other): Scheduled appointment for VTach
Systemic reaction (other): Going Monday to see electrophysiologist regarding ventricular tachycardia episode
Healthcare visit (other): Monday apt with specialist
Systemic reaction (other): Talked to my cardiologist at (b)(6) . They are now thinking arrhythmia may be an SVT instead of VT. Seeing an EP specialist on Monday
redacted (b)(6)
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 | ✓ | ✓ | ✓ |
| HCVO | Ventricular tachycardia | ○ | ○ | ○ |
| SRO | Cardiac disorder | ○ | ✓ | ○ |
| SRO | Pacemaker generated rhythm | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Ventricular tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release