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GQ4-28622-53268

1 vaccination 2 coded responses 3 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
982 / WA
Registered
2021-09-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
234-19843-94120 Adult relative or friend · Female · 2021-09-04
GU7-18809-58060 Child or adolescent in my care · Male · 2021-09-04

Timeline

  1. 2021-09-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-09-04
    Registered in v-safe
  3. 2021-09-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arrhythmia, Heart rate increased, Inflammation, Neuritis — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain
    Free text: Inflammation, increased heart rate, arrhythmia, inflamed nerves
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-09-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood pressure increased, Inflammation — Feeling: Fair · Headache
    Free text: Inflammation, increased blood pressure...
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-09-13
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-09-01Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-04

Systemic reaction (other): Inflammation, increased heart rate, arrhythmia, inflamed nerves

2021-09-05

Systemic reaction (other): Inflammation, increased blood pressure...

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
SROArrhythmia ✓ · ✓
SROBlood pressure increased ✓ · ✓
SROHeart rate increased ✓ · ✓
SROInflammation ✓ · ✓
SRONeuritis ✓ · ✓

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