5Z6-10176-95993
2 vaccinations
6 coded responses
9 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 891 / NV
- Registered
- 2021-05-05
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-14
Dose 1 — Pfizer-BioNTech
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2021-05-05
Registered in v-safe
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2021-05-05
Survey response — day 21, dose 1MedDRA: Dyspnoea, Emergency care, Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have afib. 2 weeks after the ist shot i'm experiencing shortness of breath my heart rate fluctuate up and down between 158 70s .My cardiologist thought I needed a cardioversion but when I went to the hospital It was regular . Still short of brtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Dose 2 — Pfizer-BioNTech
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Electrocardiogram, Emergency care, Pre-existing disease — Feeling: Fair · HeadacheFree text: Still short of breath i have afib. Doc. Recmnd go to emergency after EKG showed blockageeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tirednessFree text: Only short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tirednessFree text: Still short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
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2021-05-30
Survey response — day 21, dose 2MedDRA: Heart rate increased, Pre-existing disease — Feeling: Poor · Be unable to workFree text: Excellarated heart rate. 140 bpm. I have a thick heart left ventricle. I sang & danced the night b4. Go figure. I took meds amoreodorine 2 days to reduce it . I think vacine aggravated my condition. One with heart issues be advised specifically.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
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2021-08-05
Survey response — 3 months, dose 2MedDRA: Atrial fibrillation, Pre-existing disease — Feeling: Good · Be unable to work or attend schoolFree text: I tested positive for covid july 20th i have fully recovered. I took 1st shot of the Pfizer vaccine. In april.per doc. Hold off on 2nd because of heart afib.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Pfizer-BioNTech | |
| 2 | 2021-05-06 | Pfizer-BioNTech |
Free text
Release 8 — day 21, dose 1
Symptoms: I have afib. 2 weeks after the ist shot i'm experiencing shortness of breath my heart rate fluctuate up and down between 158 70s .My cardiologist thought I needed a cardioversion but when I went to the hospital It was regular . Still short of brt cut off by CDC
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Still short of breath i have afib. Doc. Recmnd go to emergency after EKG showed blockagee
Systemic reaction (other): Only short of breath
Systemic reaction (other): Still short of breath
Release 8 — day 21, dose 2
Symptoms: Excellarated heart rate. 140 bpm. I have a thick heart left ventricle. I sang & danced the night b4. Go figure. I took meds amoreodorine 2 days to reduce it . I think vacine aggravated my condition. One with heart issues be advised specifically.
Release 9 — 3 months, dose 2
Symptoms: I tested positive for covid july 20th i have fully recovered. I took 1st shot of the Pfizer vaccine. In april.per doc. Hold off on 2nd because of heart afib.
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Electrocardiogram | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release