6S5-17720-31509
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 580 / ND
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Pfizer-BioNTech
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Pfizer-BioNTech
- 2021-02-26
- 2021-02-27
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Like a mild cold with conjestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Hypersensitivity, Nasal discomfort — Feeling: GoodFree text: Allergy like nasal discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — day 21, dose 2MedDRA: Atrial fibrillation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A ten minute AFIB episode morning of 03-17-2021. This was one year and one day after a successful arterial fibrillation procedure. No AFIB episode in between.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
-
2021-04-09
Survey response — day 42, dose 2MedDRA: Pain, Pyrexia, Stomatitis — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My dentist found white patches on roof of my mouth. I claimed it was a coffee burn. I will see him on the 20th of April to have a look see. Yesterday I had my first Shingrix vaccination. Typical reactions greater than Pfizer. Fever and aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Atrial flutter — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Continued and diagnosed come and go Arterial Flutter. The frequency and duration increased after receiving the 1st Shingrex Vacination. Changes in medication has brought some improvement.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Arthralgia, Arthritis, Atrial fibrillation, Injection site pain, Pre-existing disease, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: My AFIB episodes have stopped since the 29th of June 2021 with the addition of regular coffee to my daily diet. I had a strong reaction to a tetanus vaccination; site soreness, soreness at arthritis bothered joints and thirty hours of fever.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-26
-
2022-05-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Like a mild cold with conjestion
Systemic reaction (other): Allergy like nasal discomfort
Release 6 — day 21, dose 2
Symptoms: A ten minute AFIB episode morning of 03-17-2021. This was one year and one day after a successful arterial fibrillation procedure. No AFIB episode in between.
Release 7 — day 42, dose 2
Symptoms: My dentist found white patches on roof of my mouth. I claimed it was a coffee burn. I will see him on the 20th of April to have a look see. Yesterday I had my first Shingrix vaccination. Typical reactions greater than Pfizer. Fever and aches.
Release 8 — 3 months, dose 2
Symptoms: Continued and diagnosed come and go Arterial Flutter. The frequency and duration increased after receiving the 1st Shingrex Vacination. Changes in medication has brought some improvement.
Release 9 — 6 months, dose 2
Symptoms: My AFIB episodes have stopped since the 29th of June 2021 with the addition of regular coffee to my daily diet. I had a strong reaction to a tetanus vaccination; site soreness, soreness at arthritis bothered joints and thirty hours of fever.
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Arthritis | ✓ | · | ✓ |
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Atrial flutter | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | · | ✓ |
| SD | Medical observation | ○ | ○ | ○ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Stomatitis | ✓ | ✓ | ✓ |
| SD | Vaccine interaction | ○ | ○ | ○ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Nasal discomfort | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release