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3L3-27718-99926

2 vaccinations 5 coded responses 5 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
61-65
ZIP prefix
750 / TX
Registered
2021-02-22
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-22
    Registered in v-safe
  2. 2021-02-22
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-15
    Dose 2 — Pfizer-BioNTech
  4. 2021-03-30
    Survey response — day 14, dose 2
    MedDRA: Flatulence, Gastric disorder, Insomnia — Feeling: Fair
    Free text: Could not sleep for whole night yesterday, a week after 2nd dose. Also stomach problem, lots of gas
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-21
    Survey response — day 35, dose 2
    MedDRA: Chest pain, Herpes zoster — Feeling: Poor · Be unable to do your normal daily activities
    Free text: After vaccinate i had chest pain for week on 2nd and 1st vaccine. I also had shingle. On my left hand and 2nd finger
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-26
    Survey response — day 42, dose 2
    MedDRA: Angina pectoris — Feeling: Fair
    Free text: As i mentioned before i had constant pain for 3-4 days by heart after vaccinate, which is explained by Isreali study today as Myocarditis. Please see in drudgereport.com
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-16
    Survey response — 3 months, dose 2
    MedDRA: Chest pain, Inflammation, Myocarditis — Feeling: Fair
    Free text: Myocarditis inflammation pain on heart stay few days after 2nd dose. Maybe after 1st dose too
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-09-14
    Survey response — 6 months, dose 2
    MedDRA: Angina pectoris, Carditis, Myocarditis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Myocarditis. Heart inflammation and heart pain · Healthcare visit (other): I did not go as i was not sure if wss inflammation or body ache. Israeli study clarify this wss Myocarditis
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-09-14
    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)
  10. 2021-09-17

Vaccinations

DoseDateManufacturerCo-administered
12021-02-22Pfizer-BioNTech
22021-03-15Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Could not sleep for whole night yesterday, a week after 2nd dose. Also stomach problem, lots of gas

Release 7 — day 35, dose 2

2021-04-21

Symptoms: After vaccinate i had chest pain for week on 2nd and 1st vaccine. I also had shingle. On my left hand and 2nd finger

Release 8 — day 42, dose 2

2021-04-26

Symptoms: As i mentioned before i had constant pain for 3-4 days by heart after vaccinate, which is explained by Isreali study today as Myocarditis. Please see in drudgereport.com

Release 9 — 3 months, dose 2

2021-06-16

Symptoms: Myocarditis inflammation pain on heart stay few days after 2nd dose. Maybe after 1st dose too

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: Myocarditis. Heart inflammation and heart pain
Healthcare visit (other): I did not go as i was not sure if wss inflammation or body ache. Israeli study clarify this wss Myocarditis

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

FieldPreferred term2021-092023-042024-11
HCVOMyocarditis · · ✓
SDAngina pectoris ✓ ✓ ✓
SDCarditis · · ✓
SDChest pain ✓ ✓ ✓
SDFlatulence ✓ ✓ ✓
SDGastric disorder ✓ ✓ ✓
SDHerpes zoster ✓ ✓ ✓
SDInflammation ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDMyocarditis ✓ ✓ ✓

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