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N24-11940-34599

3 vaccinations 1 coded response 3 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
687 / NE
Registered
2020-12-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-21
    Dose 1 — Pfizer-BioNTech
  2. 2020-12-22
    Registered in v-safe
  3. 2021-01-11
    Dose 2 — Pfizer-BioNTech
  4. 2021-10-20
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  5. 2021-12-21
    Survey response — 12 months, dose 1
    MedDRA: Hypertension, Myocarditis, Pericardial effusion, Tachycardia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Pericardial effusion and myocarditis. Now have tachycardia and hypertension with minimal exertion. Attend pulmonary rehab 3x/week
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-21
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  7. 2021-12-22
  8. 2022-01-21
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  9. 2022-04-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-21Pfizer-BioNTech
22021-01-11Pfizer-BioNTech No
32021-10-20Pfizer-BioNTech Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — 12 months, dose 1

2021-12-21

Symptoms: Pericardial effusion and myocarditis. Now have tachycardia and hypertension with minimal exertion. Attend pulmonary rehab 3x/week

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
SDHypertension · · ✓
SDMyocarditis · · ✓
SDPericardial effusion · · ✓
SDTachycardia · · ✓

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