CGX-12492-29294
3 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 046 / ME
- Registered
- 2021-10-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Pfizer-BioNTech
-
2021-02-27
Dose 2 — Pfizer-BioNTech
-
2021-10-11
Registered in v-safe
-
2021-10-11
Dose 3 — Pfizer-BioNTech
-
2021-10-11
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-10-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-10-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-10-14
-
2021-10-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-10-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
-
2021-10-17
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Some PVCs which I do get intermittently in generalMedDRA releases: 2024-11 · check-in free text available
-
2021-10-18
Survey response — day 7, dose 3MedDRA: Axillary pain, Chest pain — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Slight chest and under arm pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
-
2022-01-10
Survey response — 3 months, dose 3MedDRA: Ventricular extrasystoles — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Frequent PVCs. Going for echo in two weeks.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-10
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-11
Call successfulDoes not wish to fill out VAERS report
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Pfizer-BioNTech | No |
| 2 | 2021-02-27 | Pfizer-BioNTech | No |
| 3 | 2021-10-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Some PVCs which I do get intermittently in general
Release 10 — day 7, dose 3
Systemic reaction (other): Slight chest and under arm pain.
Release 10 — 3 months, dose 3
Symptoms: Frequent PVCs. Going for echo in two weeks.
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 | Ventricular extrasystoles | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release