5CC-61045-45468

1 vaccination 15 coded responses 16 check-ins 15 free-text entries 10 call cases

Sex: —
Age at first dose: 26-30
ZIP prefix: 068 / CT
Registered: 2021-06-14

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

2021-06-14
Registered in v-safe
2021-06-14
Dose 1 — Pfizer-BioNTech
2021-06-14
Survey response — day 0, dose 1
MedDRA: Chest pain, Dizziness, Tremor — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chest pain, dizziness, shaking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Chest pain, Cough, Photophobia, Tachycardia, Tremor — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest pain, chest tightness, shaking, cough, light sensitivity, tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — days 1–6 daily, dose 1
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)
2021-06-16
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Muscular weakness, Vision blurred — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Muscle weakness, blurry vision, chest heaviness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Report sent to call center — days 1–6 daily, dose 1
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)
2021-06-17
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching, Retching, Tremor, Vision blurred — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Shaking, twitching, dry hacking cough, blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — days 1–6 daily, dose 1
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)
2021-06-18
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dyspnoea, Muscle twitching, Muscular weakness, Tachycardia, Tremor — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tachycardia, muscle weakness, shaking, twitching, chest pain, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Chest discomfort, Chest pain, Cough, Dyspnoea, Muscle twitching, Tachycardia, Tremor — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tachycardia, dry cough, shaking, twitching, loss of balance, chest tightness, chest pain, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Chest pain, Muscle twitching, Tachycardia, Tremor, Vision blurred — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tachycardia, internal buzzing, shaking, twitching, blurry vision, chest pain, chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — day 7, dose 1
MedDRA: Chest pain, Palpitations, Tachycardia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tachycardia, internal buzzing, shaking, chest pain, chest tightness, heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Report sent to call center — day 7, dose 1
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)
2021-06-23
Call 2 — Left Voicemail
2021-06-23
Call 2 — Left Voicemail
2021-06-23
Call 2 — Left Voicemail
2021-06-23
Call 2 — Left Voicemail
2021-06-28
Survey response — day 14, dose 1
MedDRA: Cough, Pain, Pyrexia, Self-medication — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Worsening cough, persistent fever not affected by NSAIDs, after steroids no reduction in pain or symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Report sent to call center — day 14, dose 1
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)
2021-07-05
Survey response — day 21, dose 1
MedDRA: Arthralgia, Dizziness, Vision blurred — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Worsening foggy vision, dizziness, joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Report sent to call center — day 21, dose 1
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)
2021-07-06
Call 2 — Left Voicemail
2021-07-12
Survey response — day 28, dose 1
MedDRA: Condition aggravated, Migraine, Nausea, Pre-existing disease, Sleep disorder, Tachycardia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Worsening tachycardia while on beta blockers, increase in sleep disturbances, worsening nausea, worsening chronic migraines that wake me up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — day 28, dose 1
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)
2021-07-19
Survey response — day 35, dose 1
MedDRA: Fatigue, Migraine, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Worsening fatigue over the last two weeks, worsening pain from chronic migraines

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Report sent to call center — day 35, dose 1
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)
2021-07-21
Call 2 — Left Voicemail
2021-07-26
Health check-in — day 42, dose 1
Feeling: Poor

Adult check-in
2021-09-13
Survey response — 3 months, dose 1
MedDRA: Visual field defect — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Phantom movement in my peripheral vision

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Report sent to call center — 3 months, dose 1
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)
2021-09-14
Call 2 — Left Voicemail
2021-12-13
Survey response — 6 months, dose 1
MedDRA: Ataxia, Pre-existing disease, Tinnitus — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Intermittent temporary loss of control of muscles in hands, it causes me to drop things frequently. Tinnitus has gotten worse, not better over time.

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Survey response — 12 months, dose 1
MedDRA: Abdominal discomfort, Abdominal pain upper, Condition aggravated, Decreased appetite, Diarrhoea, Nausea, Pre-existing disease, Tachycardia, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Extreme GI upset in the morning, severe nausea, vomiting, diarrhea and stomach pain. Complete loss of appetite. Worsened blood oxygen and tachycardia (while already on beta blockers).

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-15
Call 1 — Left Voicemail
2022-06-15
Call 1 — Left Voicemail
2022-06-15
Call 1 — Left Voicemail
2022-06-15
Call 1 — Left Voicemail
2022-06-15
Call 1 — Left Voicemail
2022-06-15
Call 1 — Left Voicemail
2022-06-15
Call 1 — Left Voicemail
2022-06-15
Call 1 — Left Voicemail
2022-06-15
Call 1 — Left Voicemail
2022-06-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-14	Pfizer-BioNTech

Call center

10 call center cases

10 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-06-14

Systemic reaction (other): Chest pain, dizziness, shaking

Release 9 — days 1–6 daily, dose 1

2021-06-15

Systemic reaction (other): Chest pain, chest tightness, shaking, cough, light sensitivity, tachycardia

2021-06-16

Systemic reaction (other): Muscle weakness, blurry vision, chest heaviness

2021-06-17

Systemic reaction (other): Shaking, twitching, dry hacking cough, blurry vision

2021-06-18

Systemic reaction (other): Tachycardia, muscle weakness, shaking, twitching, chest pain, shortness of breath

2021-06-19

Systemic reaction (other): Tachycardia, dry cough, shaking, twitching, loss of balance, chest tightness, chest pain, shortness of breath

2021-06-20

Systemic reaction (other): Tachycardia, internal buzzing, shaking, twitching, blurry vision, chest pain, chest tightness

Release 9 — day 7, dose 1

2021-06-21

Systemic reaction (other): Tachycardia, internal buzzing, shaking, chest pain, chest tightness, heart palpitations

Release 9 — day 14, dose 1

2021-06-28

Symptoms: Worsening cough, persistent fever not affected by NSAIDs, after steroids no reduction in pain or symptoms

Release 9 — day 21, dose 1

2021-07-05

Symptoms: Worsening foggy vision, dizziness, joint pain

Release 9 — day 28, dose 1

2021-07-12

Symptoms: Worsening tachycardia while on beta blockers, increase in sleep disturbances, worsening nausea, worsening chronic migraines that wake me up.

Release 9 — day 35, dose 1

2021-07-19

Symptoms: Worsening fatigue over the last two weeks, worsening pain from chronic migraines

Release 9 — 3 months, dose 1

2021-09-13

Symptoms: Phantom movement in my peripheral vision

Release 10 — 6 months, dose 1

2021-12-13

Symptoms: Intermittent temporary loss of control of muscles in hands, it causes me to drop things frequently. Tinnitus has gotten worse, not better over time.

Release 12 — 12 months, dose 1

2022-06-14

Symptoms: Extreme GI upset in the morning, severe nausea, vomiting, diarrhea and stomach pain. Complete loss of appetite. Worsened blood oxygen and tachycardia (while already on beta blockers).

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
SD	Abdominal discomfort	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Ataxia	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Vision blurred	✓	✓	✓
SD	Visual field defect	·	·	✓
SD	Vomiting	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Retching	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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