29M-96919-78924

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 359 / AL
Registered: 2021-09-16

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-09-15
Dose 1 — Pfizer-BioNTech
2021-09-16
Registered in v-safe
2021-09-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-09-17
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Adult check-in
2021-09-20
Survey response — days 1–6 daily, dose 1
MedDRA: Atrial fibrillation, Night sweats — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school

Free text: Nite sweats- extreme and near afib conditions

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Call successful
Does not wish to fill out VAERS report
2021-09-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-09-22
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-09-29
Survey response — day 14, dose 1
MedDRA: Cardiac dysfunction, Depression, Headache, Lethargy — Feeling: Good · Be unable to work or attend school

Free text: Yesterday it was like the second day after vac all over again. Headache (7) lethargic, heart not functioning normal and general since of depression. Today is much better but frankly days like yesterday make me regret taking the Shot.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Dose 2 — Pfizer-BioNTech
2021-10-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-10-27
Survey response — day 21, dose 2
MedDRA: Atrial fibrillation, Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: I have experienced AFib multiple times since the Vaccination. Headaches have been an everyday even and the fatique is redicilious. Every member of Congress and the Senate should not be exempt. If i am forced to take this shit then so should they.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 35, dose 2
MedDRA: Atrial fibrillation, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities

Free text: For the love of God how many times do i have to repeat this. This damn drug is killing me. It has caused me afib multiple times and i have not had a decent nights sleep in weeks. I have friends that are not affected. I have others that have . It seem

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 42, dose 2
MedDRA: Atrial fibrillation, Dry skin, Headache, Lethargy, Peripheral swelling, Pre-existing disease, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Again, why do you not read this stuff. Afib,headaches,lethargic, swelling in legs, dry skin, tinnitis 5 times worse than it ever was.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-11-18
Call successful
Participant prefers to complete VAERS report online
2022-01-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-06
Survey response — 6 months, dose 2
MedDRA: Adverse reaction, Anxiety — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Anxiety from this plitheria of side effects this Pfiezer vaccine has caused . Along with the dozen other side effects that continue now some 12 months after the injection i feel like fileung a lawsuit againt anyone that would mandate murder.

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-11
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-15	Pfizer-BioNTech	No
2	2021-10-06	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-20

Systemic reaction (other): Nite sweats- extreme and near afib conditions

Release 9 — day 14, dose 1

2021-09-29

Symptoms: Yesterday it was like the second day after vac all over again. Headache (7) lethargic, heart not functioning normal and general since of depression. Today is much better but frankly days like yesterday make me regret taking the Shot.

Release 10 — day 21, dose 2

2021-10-27

Symptoms: I have experienced AFib multiple times since the Vaccination. Headaches have been an everyday even and the fatique is redicilious. Every member of Congress and the Senate should not be exempt. If i am forced to take this shit then so should they.

Release 10 — day 35, dose 2

2021-11-11

Symptoms: For the love of God how many times do i have to repeat this. This damn drug is killing me. It has caused me afib multiple times and i have not had a decent nights sleep in weeks. I have friends that are not affected. I have others that have . It seem cut off by CDC

Release 10 — day 42, dose 2

2021-11-17

Symptoms: Again, why do you not read this stuff. Afib,headaches,lethargic, swelling in legs, dry skin, tinnitis 5 times worse than it ever was.

Release 11 — 6 months, dose 2

2022-04-06

Symptoms: Anxiety from this plitheria of side effects this Pfiezer vaccine has caused . Along with the dozen other side effects that continue now some 12 months after the injection i feel like fileung a lawsuit againt anyone that would mandate murder.

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	Adverse reaction	·	·	✓
SD	Anxiety	·	·	✓
SD	Atrial fibrillation	·	·	✓
SD	Cardiac dysfunction	·	·	✓
SD	Depression	·	·	✓
SD	Dry skin	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lethargy	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Atrial fibrillation	·	·	✓
SRO	Night sweats	·	·	✓

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