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68B-29521-01205

3 vaccinations 5 coded responses 6 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
863 / AZ
Registered
2021-12-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-11
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-10
    Dose 3 — Moderna
  4. 2021-12-11
    Registered in v-safe
  5. 2021-12-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: resting heart rate of 130bpm
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest discomfort, Dyspnoea, Heart rate increased, Oedema peripheral — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: high heart rate, swollen left armpit, heavy chest and a hard time taking a deep breath
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Blood pressure increased, Heart rate increased, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school
    Free text: Heart is still above normal when testing and worse when standing. Blood pressure still above normal. Injection armpit lymph node still painfully swollen.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: resting heart rate remains high 90-100bpm, and standing or walking makes it go to 115-125bpm
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-16
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  10. 2021-12-17
    Survey response — day 7, dose 3
    MedDRA: Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Heart rate remains elevated to 125-130 if doing anything but sitting. Have scheduled follow up with pcp with no improvement
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-17
    Report sent to call center — day 7, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  12. 2021-12-19
  13. 2021-12-21
  14. 2022-01-21
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-21Pfizer-BioNTech No
22021-04-11Pfizer-BioNTech No
32021-12-10Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-11

Systemic reaction (other): resting heart rate of 130bpm

2021-12-12

Systemic reaction (other): high heart rate, swollen left armpit, heavy chest and a hard time taking a deep breath

2021-12-13

Systemic reaction (other): Heart is still above normal when testing and worse when standing. Blood pressure still above normal. Injection armpit lymph node still painfully swollen.

2021-12-16

Systemic reaction (other): resting heart rate remains high 90-100bpm, and standing or walking makes it go to 115-125bpm

Release 10 — day 7, dose 3

2021-12-17

Systemic reaction (other): Heart rate remains elevated to 125-130 if doing anything but sitting. Have scheduled follow up with pcp with no improvement

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
SROBlood pressure increased · · ✓
SROChest discomfort · · ✓
SRODyspnoea · · ✓
SROHeart rate increased · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROOedema peripheral · · ✓
SROUnevaluable event · · ✓

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