63V-68915-46777
3 vaccinations
5 coded responses
24 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 210 / MD
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-25
Dose 2 — Pfizer-BioNTech
-
2021-03-26
Registered in v-safe
- 2021-03-26
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Inflammation — Feeling: GoodFree text: Inflammation along medial arch of right footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-03
- 2021-04-10
- 2021-04-16
- 2021-04-24
- 2021-04-30
- 2021-05-08
-
2021-06-24
Survey response — 3 months, dose 2MedDRA: Rash — Feeling: GoodFree text: Rash on forearm, likely infection from puppy scratchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-23
Survey response — 6 months, dose 2MedDRA: Allergy to arthropod bite, Inflammation — Feeling: GoodFree text: Dramatic reactions to insect bites - extreme inflammation.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-26
Dose 3 — Pfizer-BioNTech
- 2021-10-02
- 2021-10-03
-
2021-10-10
Survey response — day 14, dose 3MedDRA: Emergency care, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Sore throat Friday, Saturday & Sunday. No temperature elevation. · Healthcare visit (other): Triage: advised to get Covid testMedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-07
-
2021-11-23
Call successfulDoes not wish to fill out VAERS report
- 2021-12-26
- 2022-03-28
-
2022-09-28
Survey response — 12 months, dose 3MedDRA: Atrial fibrillation, Blood pressure systolic increased, Bradycardia, Palpitations — Feeling: Good · 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: Palpitations & Atrial Fibrillation episode 8/07-8/09. (On 8/03 healthy weight, total cholesterol 122, normal glucose). Despite healthy weight, daily exercise (1-2 hours), and good hydration, systolic bp ranging 125-184. Bradycardia.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-09-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Inflammation along medial arch of right foot
Release 9 — 3 months, dose 2
Symptoms: Rash on forearm, likely infection from puppy scratch
Release 9 — 6 months, dose 2
Symptoms: Dramatic reactions to insect bites - extreme inflammation.
Release 10 — day 14, dose 3
Symptoms: Sore throat Friday, Saturday & Sunday. No temperature elevation.
Healthcare visit (other): Triage: advised to get Covid test
Release 12 — 12 months, dose 3
Symptoms: Palpitations & Atrial Fibrillation episode 8/07-8/09. (On 8/03 healthy weight, total cholesterol 122, normal glucose). Despite healthy weight, daily exercise (1-2 hours), and good hydration, systolic bp ranging 125-184. Bradycardia.
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 | Emergency care | · | · | ✓ |
| SD | Allergy to arthropod bite | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Blood pressure systolic increased | · | · | ✓ |
| SD | Bradycardia | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release