6CA-29770-57395
4 vaccinations
2 coded responses
34 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 486 / MI
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Pfizer-BioNTech
-
2021-01-16
Registered in v-safe
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-30
- 2021-02-05
-
2021-02-06
Dose 2 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-12
-
2021-02-13
Survey response — day 7, dose 2MedDRA: Cardiac ablation, Cardioversion, Catheterisation cardiac, Condition aggravated, Pre-existing disease, Stent placement — Feeling: Poor · Headache · Get care from a doctor or other healthcare professional · HospitalizationFree text: Systemic reaction (other): I will have a cardiac catheterization tomorrow. I dont believe it is vaccine-related. Ive had heart problems for 10 years. · Healthcare visit (other): 10 year history of stents, Cardio Version and Ablation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-20
Survey response — day 14, dose 2MedDRA: Atrial flutter, Cardiac disorder, Hospitalisation, Oropharyngeal discomfort, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I received my last Covid vaccine on Feb 6. I had throat and heart problems, starting Feb 8. I was hospitalized Feb 11 through Feb 15 for atrial flutter. I have a history of heart and asthma problems. They found nothing wrong. I am ok now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-05-08
-
2021-08-02
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-08
-
2021-10-06
Dose 3 — Pfizer-BioNTech
- 2022-02-08
-
2022-06-28
Dose 4 — Pfizer-BioNTech
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-09-27
- 2022-12-29
- 2023-06-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-06 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-06-28 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): I will have a cardiac catheterization tomorrow. I dont believe it is vaccine-related. Ive had heart problems for 10 years.
Healthcare visit (other): 10 year history of stents, Cardio Version and Ablation.
Release 4 — day 14, dose 2
Symptoms: I received my last Covid vaccine on Feb 6. I had throat and heart problems, starting Feb 8. I was hospitalized Feb 11 through Feb 15 for atrial flutter. I have a history of heart and asthma problems. They found nothing wrong. I am ok now.
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 | Cardiac ablation | ○ | ✓ | ○ |
| HCVO | Cardioversion | ○ | ✓ | ○ |
| HCVO | Pre-existing disease | ✓ | · | ✓ |
| HCVO | Stent placement | ○ | ✓ | ○ |
| SD | Atrial flutter | ✓ | ✓ | ✓ |
| SD | Cardiac disorder | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Catheterisation cardiac | ○ | ✓ | ○ |
| SRO | Condition aggravated | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release