24N-24289-59825
1 vaccination
4 coded responses
8 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 931 / CA
- Registered
- 2021-01-30
- Relationship
- Self
Timeline
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2021-01-30
Registered in v-safe
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2021-01-30
Dose 1 — Pfizer-BioNTech
- 2021-01-30
- 2021-01-31
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Dyspnoea, Emergency care, Muscle tightness — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest muscles felt tight and couldnt take a deep breath so I am now in ER at the (b)(6) hospital getting labs, an EKG chest x-rayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
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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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Hypopnoea, Office visit — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Chest pain and shallow breathing · Healthcare visit (other): Yesterday. Had normal chest x-ray , Normal EKG normal EKG, lab test were not out of range. I will be seeing my doctor in two days for a follow upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Balance disorder, Chest discomfort, Chest pain, Gait disturbance, Paraesthesia — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tingling in the left shoulder. The vaccination on that side. Loss strength on the right leg. To stand up on both legs. Poor balance. Difficulty walking without caneMulti walking. Multi walking without king The chest pain and tightness experienced the two to three days after the injection have subsidedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Muscle or body achesFree text: Chest area soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-13
- 2021-06-14
- 2021-06-15
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2021-06-17
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Chest muscles felt tight and couldnt take a deep breath so I am now in ER at the (b)(6) hospital getting labs, an EKG chest x-ray
redacted (b)(6)
Systemic reaction (other): Chest pain and shallow breathing
Healthcare visit (other): Yesterday. Had normal chest x-ray , Normal EKG normal EKG, lab test were not out of range. I will be seeing my doctor in two days for a follow up
Systemic reaction (other): Tingling in the left shoulder. The vaccination on that side. Loss strength on the right leg. To stand up on both legs. Poor balance. Difficulty walking without caneMulti walking. Multi walking without king The chest pain and tightness experienced the two to three days after the injection have subsided
Systemic reaction (other): Chest area sore
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Hypopnoea | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release