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
-
2020-12-21
Dose 1 — Pfizer-BioNTech
-
2020-12-29
Registered in v-safe
- 2020-12-29
- 2021-01-06
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-11
-
2021-01-12
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Heart Palpitations And feeling moments of my heart racing and fluttering. SOB associated with the fluttering as well as periodically through the dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-17
- 2021-01-18
- 2021-01-27
- 2021-02-01
- 2021-02-08
- 2021-02-17
- 2021-02-22
- 2021-07-12
-
2022-01-11
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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
-
2022-01-11
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-12
-
2022-01-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Intra-uterine contraceptive device removal | · | · | ✓ |
| SD | Pregnancy test false positive | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release