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
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2021-03-21
Dose 1 — Pfizer-BioNTech
-
2021-04-11
Dose 2 — Pfizer-BioNTech
-
2021-12-10
Dose 3 — Moderna
-
2021-12-11
Registered in v-safe
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2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree text: resting heart rate of 130bpmMedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree text: high heart rate, swollen left armpit, heavy chest and a hard time taking a deep breathMedDRA releases: 2024-11 · check-in free text available
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2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: 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 schoolFree 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
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2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: 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 consultationFree text: resting heart rate remains high 90-100bpm, and standing or walking makes it go to 115-125bpmMedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-12-17
Survey response — day 7, dose 3MedDRA: Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Heart rate remains elevated to 125-130 if doing anything but sitting. Have scheduled follow up with pcp with no improvementMedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-19
- 2021-12-21
- 2022-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Pfizer-BioNTech | No |
| 2 | 2021-04-11 | Pfizer-BioNTech | No |
| 3 | 2021-12-10 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): resting heart rate of 130bpm
Systemic reaction (other): high heart rate, swollen left armpit, heavy chest and a hard time taking a deep breath
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.
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Blood pressure increased | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release