NCX-18946-06921
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 040 / ME
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Pfizer-BioNTech
-
2021-02-16
Survey response — 0 day, dose 1MedDRA: No adverse event — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
-
2021-03-09
Dose 2 — Pfizer-BioNTech
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-03-11
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate irregular — Feeling: Fair · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-14
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-16
-
2021-03-24
Survey response — 14 day, dose 2MedDRA: Ventricular extrasystoles — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-06-09
Survey response — 3 month, dose 2MedDRA: Extrasystoles, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-09
Report sent to call center — 3 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
-
2021-11-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Pfizer-BioNTech | |
| 2 | 2021-03-09 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-09 | Successful 2021-11-17 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 4
Systemic reaction (other): None
Release 5
Systemic reaction (other): Irregular heart beats for one hour
Release 6
Symptoms: Frequent PVC's. Using holter monitor now. Echo normal.
Release 9
Symptoms: More fatigue. Frequent ectopic heart beats.
Free-text releases are not linked to a specific 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 | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Ventricular extrasystoles | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release