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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

  1. 2021-02-16
    Registered in v-safe
  2. 2021-02-16
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-16
    Survey response — 0 day, dose 1
    MedDRA: No adverse event — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  5. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-23
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-02
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-09
    Dose 2 — Pfizer-BioNTech
  12. 2021-03-09
    Health check-in — 0 day, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  13. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate irregular — Feeling: Fair · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  16. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache
    Adult check-in
  17. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-03-16
    Health check-in — 7 day, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  19. 2021-03-24
    Survey response — 14 day, dose 2
    MedDRA: Ventricular extrasystoles — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  20. 2021-03-30
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-06
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-13
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-20
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-09
    Survey response — 3 month, dose 2
    MedDRA: Extrasystoles, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  25. 2021-06-09
    Report sent to call center — 3 month, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-09-07
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-17
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  28. 2022-03-09
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Pfizer-BioNTech
22021-03-09Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-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

FieldPreferred term2021-092023-042024-11
SDExtrasystoles ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDVentricular extrasystoles ✓ ✓ ✓
SROHeart rate irregular ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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