6QX-28120-19398
3 vaccinations
3 coded responses
19 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 379 / TN
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-18
Dose 1 — Pfizer-BioNTech
-
2021-02-06
Registered in v-safe
- 2021-02-06
-
2021-02-08
Dose 2 — Pfizer-BioNTech
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
-
2021-08-09
Survey response — 6 months, dose 2MedDRA: Autoimmune thyroiditis, Blood test abnormal, Emergency care, Heart rate increased, Medical counselling, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: On 5/14/21 I suddenly experienced a rapid heartbeat lasting several hours. Went to (b)(6) ER. Very scary...I felt well, but hb was over 115 bpm. Had Ekg & bloodwork & diagnosed with Hashimotos disease. Endo said caused by vaccine. · Healthcare visit (other): Also being treated by Internist and Endocrinologist.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-09
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-26
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain, Heart rate irregular, Muscle spasms, Office visit — Feeling: Fair · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Cramp/chest pain and irregular heart beat warning on Omron blood pressure machine. · Healthcare visit (other): Dr. Office visit with internist.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-30
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-01
- 2021-10-02
- 2021-10-12
-
2021-10-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-09-26
Survey response — 12 months, dose 3MedDRA: Chills, Fatigue, Headache, Malaise, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a covid booster shot plus the flu shot, one in each arm and was very sick on the day after with chills, low grade fever, extreme fatigue and headache. Same on third day.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Pfizer-BioNTech | |
| 2 | 2021-02-08 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — 6 months, dose 2
Symptoms: On 5/14/21 I suddenly experienced a rapid heartbeat lasting several hours. Went to (b)(6) ER. Very scary...I felt well, but hb was over 115 bpm. Had Ekg & bloodwork & diagnosed with Hashimotos disease. Endo said caused by vaccine.
Healthcare visit (other): Also being treated by Internist and Endocrinologist.
redacted (b)(6)
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Cramp/chest pain and irregular heart beat warning on Omron blood pressure machine.
Healthcare visit (other): Dr. Office visit with internist.
Release 12 — 12 months, dose 3
Symptoms: I had a covid booster shot plus the flu shot, one in each arm and was very sick on the day after with chills, low grade fever, extreme fatigue and headache. Same on third day.
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 | Office visit | ✓ | · | ✓ |
| SD | Autoimmune thyroiditis | ✓ | · | ✓ |
| SD | Blood test abnormal | ✓ | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | ✓ | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Medical counselling | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release