5E7-11763-13359

4 vaccinations 7 coded responses 37 check-ins 7 free-text entries 3 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 121 / NY
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — day 14, dose 1
MedDRA: Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart palpitations that were getting stronger after the first week. Starting to diminish past few days. Cardiologist scripted 30mg cardizem. · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Survey response — day 0, dose 2
MedDRA: Office visit, Palpitations, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Mild palpitations prior to 1st vaccine but they got more intense for several days after 1st shot after several days. Wearing Holter per cardiologist & waiting to track and see if palpitations get worse again. · Healthcare visit (other): Office visit wit cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Electrocardiogram ambulatory, Palpitations — Feeling: Good · Site: Pain

Free text: Palpitations and wearing holter monitor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Palpitations — Feeling: Good · Site: Pain

Free text: A few palpitations. Working with cardiologist & wearing holter monitor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 7, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: Still have palpitations but they did not get worse like they did with the fist dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Dose 3 — Pfizer-BioNTech
2021-12-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-24
Survey response — 6 months, dose 3
MedDRA: Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Palpatations continue and under the care of a cardiologist, taking meds. · Healthcare visit (other): Normal office visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-25
Call successful
Not applicable - Accidental Reporting
2022-05-04
Dose 4 — Pfizer-BioNTech
2022-05-06
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Long-haul palpitations seem to have increased a little

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-04
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech
3	2021-10-19	Pfizer-BioNTech	No
4	2022-05-04	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Heart palpitations that were getting stronger after the first week. Starting to diminish past few days. Cardiologist scripted 30mg cardizem.

Healthcare visit (other): Office visit

Release 6 — day 0, dose 2

2021-03-27

Systemic reaction (other): Mild palpitations prior to 1st vaccine but they got more intense for several days after 1st shot after several days. Wearing Holter per cardiologist & waiting to track and see if palpitations get worse again.

Healthcare visit (other): Office visit wit cardiologist

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Palpitations and wearing holter monitor

2021-03-29

Systemic reaction (other): A few palpitations. Working with cardiologist & wearing holter monitor.

Release 6 — day 7, dose 2

2021-04-03

Systemic reaction (other): Still have palpitations but they did not get worse like they did with the fist dose

Release 11 — 6 months, dose 3

2022-04-24

Symptoms: Palpatations continue and under the care of a cardiologist, taking meds.

Healthcare visit (other): Normal office visit

Release 11 — days 1–6 daily, dose 4

2022-05-06

Systemic reaction (other): Long-haul palpitations seem to have increased a little

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	Office visit	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Electrocardiogram ambulatory	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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