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95V-33303-77805

2 vaccinations 2 coded responses 13 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
720 / AR
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-21
    Dose 1 — Pfizer-BioNTech
  2. 2020-12-29
    Registered in v-safe
  3. 2020-12-29
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-11
    Dose 2 — Pfizer-BioNTech
  6. 2021-01-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Palpitations — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Heart Palpitations And feeling moments of my heart racing and fluttering. SOB associated with the fluttering as well as periodically through the day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-12
  9. 2021-01-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — day 7, dose 2
    Feeling: Fair · Fever · Nausea
    Adult check-in
  11. 2021-01-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-01-11
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Heavy menstrual bleeding, Intra-uterine contraceptive device removal, Pregnancy test false positive — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Covid positive on 1/6/22 False positive pregnancy test with an 18 month old iud implant. Extremely heavy menstruation and subsequent iud removal followed by restarting hormonal BCP.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-11
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  19. 2022-01-12
  20. 2022-01-12
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12020-12-21Pfizer-BioNTech
22021-01-11Pfizer-BioNTech

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-12

Systemic reaction (other): Heart Palpitations And feeling moments of my heart racing and fluttering. SOB associated with the fluttering as well as periodically through the day

Release 10 — 12 months, dose 2

2022-01-11

Symptoms: Covid positive on 1/6/22 False positive pregnancy test with an 18 month old iud implant. Extremely heavy menstruation and subsequent iud removal followed by restarting hormonal BCP.

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDHeavy menstrual bleeding · · ✓
SDIntra-uterine contraceptive device removal · · ✓
SDPregnancy test false positive · · ✓
SROPalpitations ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release