94L-20316-17391
1 vaccination
2 coded responses
15 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 782 / TX
- Registered
- 2021-07-16
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
JMH-12284-37736
Child or adolescent in my care · Male · 2021-07-16
TTL-16939-81788
Child or adolescent in my care · Female · 2021-07-16
FGB-77372-82114
Child or adolescent in my care · Male · 2021-07-16
YAU-16555-27801
Other · Female · 2021-07-16
Timeline
-
2021-07-15
Dose 1 — Pfizer-BioNTech
-
2021-07-16
Registered in v-safe
- 2021-07-16
- 2021-07-17
- 2021-07-18
- 2021-07-19
- 2021-07-20
- 2021-07-21
- 2021-07-22
- 2021-07-29
- 2021-08-05
-
2021-08-12
Survey response — day 28, dose 1MedDRA: Palpitations — Feeling: FairFree text: Heart pounding and racingMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Survey response — day 35, dose 1MedDRA: Heart rate increased — Feeling: FairFree text: Pulse racingMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-26
- 2021-10-17
- 2022-01-15
- 2022-07-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-15 | Pfizer-BioNTech | No |
Free text
Release 9 — day 28, dose 1
Symptoms: Heart pounding and racing
Release 9 — day 35, dose 1
Symptoms: Pulse racing
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 | Heart rate increased | ✓ | · | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release