4V4-16965-62434
1 vaccination
8 coded responses
12 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 481 / MI
- Registered
- 2021-07-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-19
Dose 1 — Pfizer-BioNTech
-
2021-07-22
Registered in v-safe
-
2021-07-22
Survey response — days 1–6 daily, dose 1MedDRA: Hot flush — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Terrible hot flashesMedDRA releases: 2024-11 · check-in free text available
-
2021-07-24
Survey response — days 1–6 daily, dose 1MedDRA: Atrial fibrillation, Atrial flutter, Emergency care, Heart rate increased, Hot flush — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Elevated heart rate for the fourth day. Went to the ER yesterday and they said I have a fib and a flutter. Still having intense hot flashes every hour or so.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-24
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-25
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased, Hot flush — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Elevated heart rate and terrible hot flashes, which I did not have before I received the vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-26
Survey response — day 7, dose 1MedDRA: Atrial fibrillation, Atrial flutter, Heart rate increased, Hot flush — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continuing rapid heartbeat, a fib and a flutter. Hot flashes seem to have subsided.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-02
-
2021-08-02
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-08-09
-
2021-08-16
Survey response — day 28, dose 1MedDRA: Atrial fibrillation, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My uncontrolled A Fib is back. I am at Henry Ford Fairlane right now getting an echocardiogram.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Survey response — day 35, dose 1MedDRA: Atrial fibrillation, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am currently hospitalized for Afib, which began following my first vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-30
Survey response — day 42, dose 1MedDRA: Atrial fibrillation, Hospitalisation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I have uncontrolled AFib and have since 36 hours after my first vaccine. I was hospitalized last week to get anti arrhythmia meds but they didnt work. I am back in the hospital again and scheduled for a heart Ablation tomorrow.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-30
Report sent to call center — day 42, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
-
2021-10-18
Survey response — 3 months, dose 1MedDRA: Arrhythmia, Atrial fibrillation, Cardiac ablation, Cardioversion, Heart rate abnormal, Hospitalisation, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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: My Afib became unstable and I needed to be cardioverted and a cardiac ablation. The original medication could still not control my heart rate after the ablation so I am now on amiodarone and still struggling with Afib. I will need a second ablation. · Healthcare visit (other): Hospitalized for a life-threatening arrhythmia which resulted in a cardiac ablation.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-18
Report sent to call center — 3 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-10-19
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-01-17
- 2022-07-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-19 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Terrible hot flashes
Systemic reaction (other): Elevated heart rate for the fourth day. Went to the ER yesterday and they said I have a fib and a flutter. Still having intense hot flashes every hour or so.
Systemic reaction (other): Elevated heart rate and terrible hot flashes, which I did not have before I received the vaccine.
Release 9 — day 7, dose 1
Systemic reaction (other): Continuing rapid heartbeat, a fib and a flutter. Hot flashes seem to have subsided.
Release 9 — day 28, dose 1
Symptoms: My uncontrolled A Fib is back. I am at Henry Ford Fairlane right now getting an echocardiogram.
Release 9 — day 35, dose 1
Symptoms: I am currently hospitalized for Afib, which began following my first vaccine.
Release 9 — day 42, dose 1
Symptoms: I have uncontrolled AFib and have since 36 hours after my first vaccine. I was hospitalized last week to get anti arrhythmia meds but they didnt work. I am back in the hospital again and scheduled for a heart Ablation tomorrow.
Release 10 — 3 months, dose 1
Symptoms: My Afib became unstable and I needed to be cardioverted and a cardiac ablation. The original medication could still not control my heart rate after the ablation so I am now on amiodarone and still struggling with Afib. I will need a second ablation. cut off by CDC
Healthcare visit (other): Hospitalized for a life-threatening arrhythmia which resulted in a cardiac ablation.
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 | Arrhythmia | · | · | ✓ |
| HCVO | Cardiac ablation | · | · | ✓ |
| HCVO | Hospitalisation | · | · | ✓ |
| SD | Atrial fibrillation | ✓ | · | ✓ |
| SD | Cardiac ablation | · | · | ✓ |
| SD | Cardioversion | · | · | ✓ |
| SD | Heart rate abnormal | · | · | ✓ |
| SD | Hospitalisation | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Atrial fibrillation | ✓ | · | ✓ |
| SRO | Atrial flutter | ✓ | · | ✓ |
| SRO | Emergency care | ✓ | · | ✓ |
| SRO | Heart rate increased | ✓ | · | ✓ |
| SRO | Hot flush | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release