HA4-33649-04233
3 vaccinations
3 coded responses
38 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 601 / IL
- Registered
- 2021-06-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
GHU-22144-84550
Child or adolescent in my care · Female · 2022-06-27
VVS-14941-44052
Child or adolescent in my care · Female · 2022-06-27
Timeline
-
2021-06-17
Registered in v-safe
-
2021-06-17
Dose 1 — Pfizer-BioNTech
-
2021-06-18
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: Yesterday the side of my body i got shot, i got all tingly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-19
- 2021-06-20
- 2021-06-21
- 2021-06-22
- 2021-06-23
- 2021-06-24
- 2021-07-01
-
2021-07-08
Dose 2 — Pfizer-BioNTech
-
2021-07-08
Survey response — day 0, dose 2MedDRA: Paraesthesia, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · NauseaFree text: Tingling a little on the whole right side of body where shot was injected. It was like the first shot. Goes away after awhile.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-09
- 2021-07-10
- 2021-07-11
- 2021-07-12
- 2021-07-13
- 2021-07-14
- 2021-07-15
- 2021-07-22
- 2021-07-29
- 2021-08-05
- 2021-08-12
- 2021-08-19
- 2021-10-07
- 2022-01-06
-
2022-01-08
Dose 3 — Pfizer-BioNTech
- 2022-01-08
- 2022-01-09
- 2022-01-10
- 2022-01-11
- 2022-01-12
- 2022-01-13
- 2022-01-14
- 2022-01-15
- 2022-01-22
- 2022-01-29
- 2022-02-05
- 2022-02-14
- 2022-02-19
-
2022-04-09
Survey response — 3 months, dose 3MedDRA: Atrioventricular block, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Been diagnosed with a form of SVT and AV block. I don't think it related to vaccines. The SVT is something I been dealing with since a teenager. · Healthcare visit (other): Doctor visitMedDRA releases: 2024-11 · check-in free text available
-
2022-04-09
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-13
Call successfulNot applicable - Accidental Reporting
- 2022-07-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-17 | Pfizer-BioNTech | |
| 2 | 2021-07-08 | Pfizer-BioNTech | No |
| 3 | 2022-01-08 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday the side of my body i got shot, i got all tingly.
Release 9 — day 0, dose 2
Systemic reaction (other): Tingling a little on the whole right side of body where shot was injected. It was like the first shot. Goes away after awhile.
Release 11 — 3 months, dose 3
Symptoms: Been diagnosed with a form of SVT and AV block. I don't think it related to vaccines. The SVT is something I been dealing with since a teenager.
Healthcare visit (other): Doctor visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Atrioventricular block | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release