2DU-53072-57746

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 207 / MD
Registered: 2021-05-20

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-05-20
Registered in v-safe
2021-05-20
Dose 1 — Pfizer-BioNTech
2021-05-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-10
Dose 2 — Pfizer-BioNTech
2021-06-10
Survey response — day 0, dose 2
MedDRA: Feeling drunk — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Slightly impaired feeling, like I'm thinking and moving in slow motion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-12
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate irregular — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Irregular heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — day 28, dose 2
MedDRA: Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Survey response — day 35, dose 2
MedDRA: Cardiac flutter, Chest discomfort, Electric shock sensation, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart palpitations; tightness in my chest from time to time and occasionally i feel a fluttering that seems to jump around from my heart, to my stomach, then left upper arm and into my neck like my nerves are shorting out. I have a drs appt. 7/20/21.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-22
Survey response — day 42, dose 2
MedDRA: Anxiety, Headache, Hypertension, Office visit — Feeling: Fair

Free text: Headache, high blood pressure, and high anxiety. The last two as diagnosed from my doctor's appointment on 7/20/2021.

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-09
Survey response — 6 months, dose 2
MedDRA: Cardiac disorder, Echocardiogram abnormal — Feeling: Good

Free text: An echocardiogram showed my top half of my heart is beating slower than the bottom half. I have a nuclear stress test scheduled with an cardiologist January 12th 2022 to find out more.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Survey response — 12 months, dose 2
MedDRA: Hypoaesthesia, Myocardial infarction, Palpitations, Self-medication — Feeling: Poor · Be unable to do your normal daily activities

Free text: Numb limbs and heart palpitations after resuming Claritin 10mg 24. I think their must be an interaction between the covid vaccine and Claritin, because after already taking Claritin last year then getting the covid vaccine (Pfizer) I heart attack

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-20	Pfizer-BioNTech
2	2021-06-10	Pfizer-BioNTech

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-21

Systemic reaction (other): Dry mouth

Release 9 — day 0, dose 2

2021-06-10

Systemic reaction (other): Slightly impaired feeling, like I'm thinking and moving in slow motion

Release 9 — days 1–6 daily, dose 2

2021-06-12

Systemic reaction (other): Irregular heartbeat

Release 9 — day 28, dose 2

2021-07-08

Symptoms: Heart palpitations

Release 9 — day 35, dose 2

2021-07-15

Symptoms: Heart palpitations; tightness in my chest from time to time and occasionally i feel a fluttering that seems to jump around from my heart, to my stomach, then left upper arm and into my neck like my nerves are shorting out. I have a drs appt. 7/20/21. cut off by CDC

Release 9 — day 42, dose 2

2021-07-22

Symptoms: Headache, high blood pressure, and high anxiety. The last two as diagnosed from my doctor's appointment on 7/20/2021.

Release 10 — 6 months, dose 2

2021-12-09

Symptoms: An echocardiogram showed my top half of my heart is beating slower than the bottom half. I have a nuclear stress test scheduled with an cardiologist January 12th 2022 to find out more.

Release 12 — 12 months, dose 2

2022-06-10

Symptoms: Numb limbs and heart palpitations after resuming Claritin 10mg 24. I think their must be an interaction between the covid vaccine and Claritin, because after already taking Claritin last year then getting the covid vaccine (Pfizer) I heart attack

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	Anxiety	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Cardiac flutter	✓	·	✓
SD	Chest discomfort	✓	·	✓
SD	Echocardiogram abnormal	·	·	✓
SD	Electric shock sensation	✓	·	✓
SD	Headache	·	·	✓
SD	Hypertension	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Myocardial infarction	·	·	✓
SD	Office visit	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Self-medication	·	·	✓
SRO	Dry mouth	✓	✓	✓
SRO	Feeling drunk	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓

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