ZXQ-88774-95209
1 vaccination
6 coded responses
7 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 527 / IA
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-23
Dose 1 — Pfizer-BioNTech
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2021-03-24
Registered in v-safe
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very high pulse 147MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Emergency care, Heart rate increased, Pneumonia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Pulse climb to 147 ended in Er had to be shocked back into right rythm ,develope hypo magnesium asperation pneumoniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Rash, Rash macular — Feeling: Poor · Site: Swelling · Fever · Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Got big rash like blotches on chest and lot of tightness in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteFree text: On my breastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 21, dose 1MedDRA: Cardioversion, Heart rate increased, No adverse event, Quarantine, SARS-CoV-2 test — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I am in quarantine til i get resault fo1r civid test had to go in a second time to get my heart shocked to put it back at a safe heart rate my heart rate was 141 i can not get 2nd shot til cleared .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-11-01
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2022-03-24
Survey response — 12 months, dose 1MedDRA: Discomfort, Dyspnoea, Lung disorder, Oxygen saturation decreased — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My right lung is rock had pressing against my ribs harder to breath vut pulse ox reads 91MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Very high pulse 147
Systemic reaction (other): Pulse climb to 147 ended in Er had to be shocked back into right rythm ,develope hypo magnesium asperation pneumonia
Systemic reaction (other): Got big rash like blotches on chest and lot of tightness in chest
Release 6 — day 7, dose 1
Systemic reaction (other): On my breast
Release 7 — day 21, dose 1
Symptoms: I am in quarantine til i get resault fo1r civid test had to go in a second time to get my heart shocked to put it back at a safe heart rate my heart rate was 141 i can not get 2nd shot til cleared .
Release 11 — 12 months, dose 1
Symptoms: My right lung is rock had pressing against my ribs harder to breath vut pulse ox reads 91
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cardioversion | ✓ | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Heart rate increased | ✓ | · | ✓ |
| SD | Lung disorder | · | · | ✓ |
| SD | No adverse event | ○ | ✓ | ○ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Quarantine | ✓ | · | ✓ |
| SD | SARS-CoV-2 test | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Pneumonia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release