4V2-27869-57090
4 vaccinations
4 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 486 / MI
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Pfizer-BioNTech
-
2021-01-26
Registered in v-safe
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Pfizer-BioNTech
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Swelling face — Feeling: Good · Site: Pain, SwellingFree text: Inside jaw, right side with slight swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-10-06
Dose 3 — Pfizer-BioNTech
- 2022-02-12
-
2022-04-06
Survey response — 6 months, dose 3MedDRA: Dizziness, Pyrexia, Quarantine, SARS-CoV-2 test positive, Sinus congestion — Feeling: GoodFree text: I tested positive for Covid last Tuesday, 3/29 . I've felt fine for the most part with the exception of last Monday and Tuesday in which I felt a little woozy. I had a slight temp and some sinus congestion. I've been in quarantine since last Tuesday.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-21
Dose 4 — Pfizer-BioNTech
- 2022-06-30
- 2022-07-05
- 2022-07-12
- 2022-07-21
- 2022-07-26
- 2022-08-02
- 2022-09-20
-
2022-12-20
Survey response — 6 months, dose 4MedDRA: Atrial fibrillation, Blood pressure systolic increased, Emergency care, Heart rate increased, Hospitalisation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Heart rate went up very high(137), went to emergency room. They concluded my heart went into A-Fib mode. I spent overnight in the hospital. Sent home on Eloquis 5 mg 2/day. Also my upper number of my BP is higher than normal. Otherwise I feel good.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-20
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-12-21
Call successfulDoes not wish to fill out VAERS report
-
2023-06-21
Survey response — 12 months, dose 4MedDRA: Atrial fibrillation — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-06-21 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): Inside jaw, right side with slight swelling.
Release 11 — 6 months, dose 3
Symptoms: I tested positive for Covid last Tuesday, 3/29 . I've felt fine for the most part with the exception of last Monday and Tuesday in which I felt a little woozy. I had a slight temp and some sinus congestion. I've been in quarantine since last Tuesday. cut off by CDC
Release 12 — 6 months, dose 4
Symptoms: Heart rate went up very high(137), went to emergency room. They concluded my heart went into A-Fib mode. I spent overnight in the hospital. Sent home on Eloquis 5 mg 2/day. Also my upper number of my BP is higher than normal. Otherwise I feel good. cut off by CDC
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 | Atrial fibrillation | · | · | ✓ |
| SD | Blood pressure systolic increased | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release