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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

  1. 2021-04-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-05
    Registered in v-safe
  3. 2021-05-05
    Survey response — day 21, dose 1
    MedDRA: Dyspnoea, Emergency care, Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activities
    Free 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 brt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-06
    Dose 2 — Pfizer-BioNTech
  5. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea, Electrocardiogram, Emergency care, Pre-existing disease — Feeling: Fair · Headache
    Free text: Still short of breath i have afib. Doc. Recmnd go to emergency after EKG showed blockagee
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness
    Free text: Only short of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness
    Free text: Still short of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-14
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-05-30
    Survey response — day 21, dose 2
    MedDRA: Heart rate increased, Pre-existing disease — Feeling: Poor · Be unable to work
    Free 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
  10. 2021-06-04
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-08-05
    Survey response — 3 months, dose 2
    MedDRA: Atrial fibrillation, Pre-existing disease — Feeling: Good · Be unable to work or attend school
    Free 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
  12. 2021-11-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Pfizer-BioNTech
22021-05-06Pfizer-BioNTech

Free text

Release 8 — day 21, dose 1

2021-05-05

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

2021-05-07

Systemic reaction (other): Still short of breath i have afib. Doc. Recmnd go to emergency after EKG showed blockagee

2021-05-08

Systemic reaction (other): Only short of breath

2021-05-10

Systemic reaction (other): Still short of breath

Release 8 — day 21, dose 2

2021-05-30

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

2021-08-05

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

FieldPreferred term2021-092023-042024-11
SDAtrial fibrillation ✓ · ✓
SDDyspnoea ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDHeart rate irregular ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROElectrocardiogram ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release