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4SC-11530-09402

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
56-60
ZIP prefix
217 / MD
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-15
    Registered in v-safe
  2. 2021-04-15
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-15
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness
    Free text: Slightly dizzy in the evening
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-22
    Survey response — day 7, dose 1
    MedDRA: Dizziness, Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Dizziness and more tiredness than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-06
    Dose 2 — Pfizer-BioNTech
  12. 2021-05-06
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness · Be unable to work
    Adult check-in
  13. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Confusional state — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work
    Free text: Confusion on what to do next, for example.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills
    Adult check-in
  16. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-05-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-17
    Survey response — day 42, dose 2
    MedDRA: Body temperature decreased, Dizziness — Feeling: Fair
    Free text: Dizziness has been an increasing condition since my second shot. Yesterday afternoon was strong enough that Im concerned now and plan to see my doctor. Also, my new baseline temperature has fallen to 97.1 after the vaccine degrees from 97.6 deg.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-08-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-08
    Survey response — 6 months, dose 2
    MedDRA: Apathy, Atrioventricular block, Depressed mood, Malaise, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Heart ventricle blockage. Never ever had any clotting issues. Also, experiencing overall malaise. Apathy. I haven't followed up with the cardiologist yet. All too depressing. I've seen more death in the last year due to heart issues then in ever · Healthcare visit (other): Yearly physical at my doctor
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-08
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-11-10

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Pfizer-BioNTech
22021-05-06Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-21

Systemic reaction (other): Slightly dizzy in the evening

Release 7 — day 7, dose 1

2021-04-22

Systemic reaction (other): Dizziness and more tiredness than yesterday.

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Confusion on what to do next, for example.

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Dizziness has been an increasing condition since my second shot. Yesterday afternoon was strong enough that Im concerned now and plan to see my doctor. Also, my new baseline temperature has fallen to 97.1 after the vaccine degrees from 97.6 deg.

Release 10 — 6 months, dose 2

2021-11-08

Symptoms: Heart ventricle blockage. Never ever had any clotting issues. Also, experiencing overall malaise. Apathy. I haven't followed up with the cardiologist yet. All too depressing. I've seen more death in the last year due to heart issues then in ever cut off by CDC
Healthcare visit (other): Yearly physical at my doctor

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
HCVOOffice visit · · ✓
SDApathy · · ✓
SDAtrioventricular block · · ✓
SDBody temperature decreased ✓ ✓ ✓
SDDepressed mood · · ✓
SDDizziness ✓ ✓ ✓
SDMalaise · · ✓
SROConfusional state ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓

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