HNM-25017-54502
2 vaccinations
5 coded responses
12 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 187 / PA
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Pfizer-BioNTech
-
2021-04-19
Dose 2 — Pfizer-BioNTech
-
2021-04-21
Registered in v-safe
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, NauseaFree text: Swollen lymph nodes under vaccinated armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
-
2021-05-03
Survey response — day 14, dose 2MedDRA: Extrasystoles — Feeling: GoodFree text: Very frequent ectopic heartbeats daily since 3rd day after 2nd vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 21, dose 2MedDRA: Supraventricular extrasystoles — Feeling: GoodFree text: Experiencing frequent ectopic (PACs) since 3rd day post vaccine . Daily and all day .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — day 28, dose 2MedDRA: Diarrhoea, Extrasystoles, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea, diarrhea . Continued frequent ectopic heart beatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — day 35, dose 2MedDRA: Diarrhoea, Nausea — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe nausea and diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-02
- 2021-07-19
- 2022-05-12
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2022-05-17
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-26 | Successful 2022-05-17 |
Does not wish to fill out VAERS report |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes under vaccinated arm
Release 8 — day 14, dose 2
Symptoms: Very frequent ectopic heartbeats daily since 3rd day after 2nd vaccine
Release 8 — day 21, dose 2
Symptoms: Experiencing frequent ectopic (PACs) since 3rd day post vaccine . Daily and all day .
Release 8 — day 28, dose 2
Symptoms: Nausea, diarrhea . Continued frequent ectopic heart beats
Release 8 — day 35, dose 2
Symptoms: Severe nausea and diarrhea
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Supraventricular extrasystoles | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release