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66G-86217-62903

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
655 / MO
Registered
2021-10-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
4F4-19211-26060 Child or adolescent in my care · Female · 2021-10-01

Timeline

  1. 2021-09-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-09-30
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-01
    Registered in v-safe
  4. 2021-10-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Elevated resting heart rate. It is usually around 62 bpm, today is 90 bpm
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Elevated heart rate
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-10-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  7. 2021-10-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-10-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-10-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-10-07
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-10-15
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Pre-existing disease, Tachycardia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Severe joint pain, SVT episodes- cardiac ablation 15 years ago completely stop all SVT episodes until second dose of vaccine
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-10-21
    Survey response — day 21, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Continued exasperated joint pain.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-21
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  14. 2021-10-25
  15. 2021-10-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-12-30
    Survey response — 3 months, dose 2
    MedDRA: Condition aggravated, Heart rate increased, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Return of SVT 16 years after ablation and no symptoms. Very reactive heart rate- increase in heart rate that in the past would have taken twice the amount of exertion to achieve. Resting heart rate fluctuates daily upto 10bpm. · Healthcare visit (other): Have an appt in a week
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-30
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2022-01-05
  20. 2022-01-10
  21. 2022-04-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-09-09Pfizer-BioNTech No
22021-09-30Pfizer-BioNTech No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-10-01

Systemic reaction (other): Elevated resting heart rate. It is usually around 62 bpm, today is 90 bpm

2021-10-02

Systemic reaction (other): Elevated heart rate

Release 10 — day 14, dose 2

2021-10-15

Symptoms: Severe joint pain, SVT episodes- cardiac ablation 15 years ago completely stop all SVT episodes until second dose of vaccine

Release 10 — day 21, dose 2

2021-10-21

Symptoms: Continued exasperated joint pain.

Release 10 — 3 months, dose 2

2021-12-30

Symptoms: Return of SVT 16 years after ablation and no symptoms. Very reactive heart rate- increase in heart rate that in the past would have taken twice the amount of exertion to achieve. Resting heart rate fluctuates daily upto 10bpm.
Healthcare visit (other): Have an appt in a week

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
HCVOUnevaluable event · · ✓
SDArthralgia · · ✓
SDCondition aggravated · · ✓
SDHeart rate increased · · ✓
SDPre-existing disease · · ✓
SDTachycardia · · ✓
SROHeart rate increased · · ✓

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

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