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
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Pfizer-BioNTech
- 2021-04-15
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
-
2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Fatigue or tirednessFree text: Slightly dizzy in the eveningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Survey response — day 7, dose 1MedDRA: Dizziness, Fatigue — Feeling: Good · Fatigue or tirednessFree text: Dizziness and more tiredness than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2021-05-06
Dose 2 — Pfizer-BioNTech
-
2021-05-06
Health check-in — day 0, dose 2Feeling: Good · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Confusional state — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to workFree text: Confusion on what to do next, for example.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-16
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
-
2021-06-17
Survey response — day 42, dose 2MedDRA: Body temperature decreased, Dizziness — Feeling: FairFree 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
- 2021-08-05
-
2021-11-08
Survey response — 6 months, dose 2MedDRA: Apathy, Atrioventricular block, Depressed mood, Malaise, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 doctorMedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Pfizer-BioNTech | |
| 2 | 2021-05-06 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly dizzy in the evening
Release 7 — day 7, dose 1
Systemic reaction (other): Dizziness and more tiredness than yesterday.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Confusion on what to do next, for example.
Release 9 — day 42, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Apathy | · | · | ✓ |
| SD | Atrioventricular block | · | · | ✓ |
| SD | Body temperature decreased | ✓ | ✓ | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release