UXP-23711-97256
2 vaccinations
9 coded responses
22 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 932 / CA
- Registered
- 2021-05-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-21
Dose 1 — Pfizer-BioNTech
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2021-05-23
Registered in v-safe
- 2021-05-23
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2021-05-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-25
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Good · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-28
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2021-06-04
Survey response — 14 day, dose 1MedDRA: Cough, Headache — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-06-11
Dose 2 — Pfizer-BioNTech
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2021-06-11
Survey response — 21 day, dose 1MedDRA: Paraesthesia, Peripheral coldness — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-06-12
Survey response — days 1–6 daily, dose 2MedDRA: Head discomfort, Hyperaesthesia, Ocular discomfort, Paranasal sinus discomfort — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-06-13
Survey response — days 1–6 daily, dose 2MedDRA: Atrial fibrillation, Feeling of body temperature change, Headache, Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-06-14
- 2021-06-15
- 2021-06-16
- 2021-06-17
- 2021-06-18
- 2021-06-25
- 2021-07-02
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2021-07-09
Survey response — 28 day, dose 2MedDRA: Nausea, Sensation of foreign body — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-07-16
Survey response — 35 day, dose 2MedDRA: Atrial fibrillation, Dyspnoea, Extrasystoles — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
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2021-07-23
Survey response — 42 day, dose 2MedDRA: Atrial fibrillation, Dyspnoea, Sensation of foreign body — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
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2021-09-10
Survey response — 3 month, dose 2MedDRA: Myocarditis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
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2021-09-10
Report sent to call center — 3 month, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-15
- 2022-06-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-21 | Pfizer-BioNTech | |
| 2 | 2021-06-11 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-10 | Unsuccessful |
Free text
Release 8
Systemic reaction (other): Unexplained cough
Symptoms: Infrequent unexpected cough. Headache has subsided.
Release 9
Symptoms: Random cold pinpricks on my legs. Feels like very small water droplets. Timeframe of occurrence is approximately (1) week. Not related to Neuritis in severity, temperature, frequency or location.
Systemic reaction (other): Sinus pressure including the eyes. Thickheaded. Confined to forehead and front top of head. Hyper sensitive scalp to temperature and touching when shampooing. Same when shaving with razor.
Systemic reaction (other): Vaccination + 10hrs, headache and sore throat cleared. At + 27 hrs, mild Atrial fibrillation started and continued until + 33hrs / 0900 PDT. Felt like mild fever all day but never exceeded 97.6 F.
Symptoms: Lump in throat, possibly Thyroid area. Bouts of minor nausea through out the week. No other abnormal symptoms or fever.
Symptoms: Ive experienced (3) episodes of Atrial Fibrillation this week, in which I took prescribed Atenolol. Ive also experienced increased Ectopic heartbeats and shortness of breath. These experiences have been since my 2nd dose of Pfizer on 06/11/2021
Symptoms: Another Afib event yesterday on 07/22/2021. Lasted approx. (10) hrs. Took Atenolol with little effect. Difficulty breathing and lump in throat.
Symptoms: Suspected Myocarditis
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 | Atrial fibrillation | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Extrasystoles | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myocarditis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Peripheral coldness | ✓ | ✓ | ✓ |
| SD | Sensation of foreign body | ✓ | ✓ | ✓ |
| SRO | Atrial fibrillation | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia | ✓ | ✓ | ✓ |
| SRO | Ocular discomfort | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release