3AZ-27797-15371

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 320 / FL
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Head discomfort — Feeling: Fair

Free text: Head is stopped up! Has been for days. Assume its allergies: From heavy pollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Still have head congestion which I Assyria unrelated to caccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 1
MedDRA: Discomfort, Pre-existing disease, Respiratory tract congestion — Feeling: Fair

Free text: Congestion, pressure from pollen allergens

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Head discomfort — Feeling: Fair

Free text: Stuffy head, dizziness I assume from allergies to pollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion, Seasonal allergy — Feeling: Fair

Free text: Head congestion continues from pollen allergy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — day 28, dose 2
MedDRA: Dizziness, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Think its unrelated to vaccine but having some light headedness ... especially when I stand up and walk. Usually diminishes after a few moments. Been using Ipratropium nasal spay to deal w/reaction to pollen which warns of dizziness. · Healthcare visit (other): In person visit w/primary care doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Bundle branch block right, Cardiac pacemaker insertion, Heart rate decreased, Medical procedure — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Low heart rate due to advancement (my term) of right bundle branch block to both sides necessitating pacemaker implant 8/16/21. My heart rate had gone down to mid 30s at times · Healthcare visit (other): Procedure in hospital

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
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

1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2022-04-02
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Head is stopped up! Has been for days. Assume its allergies: From heavy pollen

2021-03-18

Systemic reaction (other): Still have head congestion which I Assyria unrelated to caccine

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): Congestion, pressure from pollen allergens

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Stuffy head, dizziness I assume from allergies to pollen

2021-04-08

Systemic reaction (other): Head congestion continues from pollen allergy

Release 8 — day 28, dose 2

2021-05-02

Symptoms: Think its unrelated to vaccine but having some light headedness ... especially when I stand up and walk. Usually diminishes after a few moments. Been using Ipratropium nasal spay to deal w/reaction to pollen which warns of dizziness.

Healthcare visit (other): In person visit w/primary care doctor

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Low heart rate due to advancement (my term) of right bundle branch block to both sides necessitating pacemaker implant 8/16/21. My heart rate had gone down to mid 30s at times

Healthcare visit (other): Procedure in hospital

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	Medical procedure	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Bundle branch block right	·	·	✓
SD	Cardiac pacemaker insertion	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Heart rate decreased	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓

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