XXA-14446-45797
4 vaccinations
5 coded responses
32 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 198 / DE
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Pfizer-BioNTech
-
2021-01-31
Registered in v-safe
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Atrial fibrillation — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-27
Dose 2 — Pfizer-BioNTech
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Atrial fibrillation — Feeling: Fair · Chills, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-04-03
Survey response — 35 day, dose 2MedDRA: Anaesthesia, Atrial fibrillation, Cryotherapy, Oropharyngeal discomfort, Throat irritation — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2021-10-12
Dose 3 — Pfizer-BioNTech
-
2022-03-01
Survey response — 12 month, dose 2MedDRA: Arthralgia, Self-medication — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-03-31
Dose 4 — Pfizer-BioNTech
-
2022-04-22
Survey response — 21 day, dose 4MedDRA: Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-04-22
Report sent to call center — 21 day, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
- 2022-09-29
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-27 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-22 | Successful 2022-04-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 3
Systemic reaction (other): Short period of Atrial Fibrilation
Release 4
Systemic reaction (other): Had a brief (2-3 hr) episode of Proxsmal A-fib during last night. I get these episodes 1-2 times per month.
Release 6
Symptoms: Had Cryogenic Ablation procedure for Paroxysmal A-Fib on 3/30. Some minor throat discomfort from anesthesia and also irritation around sites of capillary insertions.
Release 11
Symptoms: Occasional aches in shoulders and hips, for which I get relief with lotion and Advil.
Symptoms: Shoulder pain
Healthcare visit (other): Visit my general practitioner.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Anaesthesia | ○ | ✓ | ○ |
| SD | Arthralgia | · | · | ✓ |
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Cryotherapy | ✓ | · | ✓ |
| SD | Oropharyngeal discomfort | ○ | ✓ | ○ |
| SD | Self-medication | · | · | ✓ |
| SD | Throat irritation | ○ | ✓ | ○ |
| SRO | Atrial fibrillation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release