3BY-30142-32467

3 vaccinations 11 coded responses 34 check-ins 11 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 751 / TX
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Dizziness, Feeling abnormal, Heart rate decreased — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: Rapid drop in heart rate from 81 - 40 bpm & increased blood pressure from 120/73 to 159/85. Was "foggy" & light headed. Lasted 20 miinutes. 14 hours after injection and 2 hours after taking Metoprolol, Livalo, Ranexa, and Losartan.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Heart rate decreased — Feeling: Fair · Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Heart Rate dropped to 49-51 BPM and blood pressure raised from normal to 163/85 and both stayed like like rhat for about 8 hours. My avg BP is 130/75 and avg resting HR is 62 bpm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased — Feeling: Good · Headache

Free text: Elevated blood pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Blood pressure systolic increased — Feeling: Good

Free text: Continued elevated blood pressure since 1st injection. Systolic has iincreased >20 mmHg, while diastolic has remained fairly normal <85 mmHg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — day 7, dose 1
MedDRA: Blood pressure increased, Medical counselling — Feeling: Good

Free text: Still haviing elevated blood pressure. My cardiologist can not explain this phenomenon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Dose 2 — Pfizer-BioNTech
2021-01-21
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — 3 months, dose 2
MedDRA: Muscle fatigue, Ventricular extrasystoles — Feeling: Fair · Be unable to do your normal daily activities

Free text: PVC's and chronic muscle fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-24
Survey response — 6 months, dose 2
MedDRA: Atrioventricular block, Catheterisation cardiac, Percutaneous coronary intervention, Pre-existing disease, Ventricular extrasystoles — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: Developed PVCs. In April. Then had Percutaneous Coronary Intervention in July 2021 (10 days ago).These blockages, (2 of them), developed in less than a year. My heart cath in 2020 was good. · Healthcare visit (other): Heart Cath

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-27
Call successful
Participant prefers to complete VAERS report online
2021-09-23
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-21
Survey response — day 28, dose 3
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme dizziness.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-24
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Glucose tolerance impaired — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pre-Diabetes; Joint Pain

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-21	Pfizer-BioNTech
3	2021-09-23	Pfizer-BioNTech	Flu

Call center

3 call center cases

1 successful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Rapid drop in heart rate from 81 - 40 bpm & increased blood pressure from 120/73 to 159/85. Was "foggy" & light headed. Lasted 20 miinutes. 14 hours after injection and 2 hours after taking Metoprolol, Livalo, Ranexa, and Losartan.

2021-01-02

Systemic reaction (other): Heart Rate dropped to 49-51 BPM and blood pressure raised from normal to 163/85 and both stayed like like rhat for about 8 hours. My avg BP is 130/75 and avg resting HR is 62 bpm.

2021-01-03

Systemic reaction (other): Elevated blood pressure.

2021-01-05

Systemic reaction (other): Continued elevated blood pressure since 1st injection. Systolic has iincreased >20 mmHg, while diastolic has remained fairly normal <85 mmHg

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Still haviing elevated blood pressure. My cardiologist can not explain this phenomenon.

Release 7 — 3 months, dose 2

2021-04-22

Symptoms: PVC's and chronic muscle fatigue.

Release 9 — 6 months, dose 2

2021-07-24

Symptoms: Developed PVCs. In April. Then had Percutaneous Coronary Intervention in July 2021 (10 days ago).These blockages, (2 of them), developed in less than a year. My heart cath in 2020 was good.

Healthcare visit (other): Heart Cath

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): Dizziness

Release 9 — day 7, dose 3

2021-09-30

Systemic reaction (other): Dizziness

Release 10 — day 28, dose 3

2021-10-21

Symptoms: Extreme dizziness.

Release 11 — 6 months, dose 3

2022-03-24

Symptoms: Pre-Diabetes; Joint Pain

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	Catheterisation cardiac	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Atrioventricular block	✓	·	✓
SD	Dizziness	·	·	✓
SD	Glucose tolerance impaired	·	·	✓
SD	Muscle fatigue	✓	✓	✓
SD	Percutaneous coronary intervention	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Ventricular extrasystoles	✓	✓	✓
SRO	Anaphylaxis treatment	○	○	○
SRO	Blood pressure increased	✓	✓	✓
SRO	Blood pressure systolic increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate decreased	✓	✓	✓
SRO	Medical counselling	✓	✓	✓

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