5UE-17998-46848

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 5 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 296 / SC
Registered: 2021-01-24

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

2021-01-23
Dose 1 — Pfizer-BioNTech
2021-01-24
Registered in v-safe
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pneumonia, Pulmonary oedema, Pulmonary thrombosis, Unevaluable event — Feeling: Poor · Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Pneumonia but I don think related · Healthcare visit (other): Blood clot in bugs pneumonia and sack of fluid. Dont think this was related to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Fatigue or tiredness, Nausea

Free text: These symptoms are not related to vaccine. I am in hospital with pneumonia in both lungs snd blood clot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Nausea · Get care from a doctor or other healthcare professional · Hospitalization

Free text: No related to covid vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Nausea · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Conditions not related to vaccine! · Healthcare visit (other): Not related to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Pfizer-BioNTech
2021-02-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 21, dose 2
MedDRA: Cardiac failure congestive, Lung disorder, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Not from covid. Lung issues and congestive heart failure · Healthcare visit (other): Drs visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-20
Survey response — day 35, dose 2
MedDRA: Blood pressure increased, Hospitalisation, Pulmonary oedema — Feeling: Fair

Free text: Had fluid drawn off lungs hospitalized high bp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-15
Survey response — 3 months, dose 2
MedDRA: Cardiac failure congestive, Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Congestive heart failure is worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-11-28
Call 1 — Left Voicemail
2022-02-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-13	Pfizer-BioNTech

Call center

5 call center cases

4 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Pneumonia but I don think related

Healthcare visit (other): Blood clot in bugs pneumonia and sack of fluid. Dont think this was related to vaccine

2021-01-28

Systemic reaction (other): These symptoms are not related to vaccine. I am in hospital with pneumonia in both lungs snd blood clot

Release 3 — days 1–6 daily, dose 1

2021-01-29

Healthcare visit (other): No related to covid vaccine

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): Conditions not related to vaccine!

Healthcare visit (other): Not related to vaccine

Release 5 — day 21, dose 2

2021-03-06

Symptoms: Not from covid. Lung issues and congestive heart failure

Healthcare visit (other): Drs visit

Release 6 — day 35, dose 2

2021-03-20

Symptoms: Had fluid drawn off lungs hospitalized high bp

Release 8 — 3 months, dose 2

2021-05-15

Symptoms: Congestive heart failure is worse

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	Fluid retention	○	·	○
HCVO	No adverse event	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pneumonia	✓	·	✓
HCVO	Pulmonary oedema	✓	·	✓
HCVO	Pulmonary thrombosis	✓	·	✓
HCVO	Thrombosis	○	·	○
HCVO	Unevaluable event	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Cardiac failure congestive	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Lung disorder	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pulmonary oedema	✓	✓	✓
SRO	Pneumonia	✓	·	✓
SRO	Unevaluable event	✓	✓	✓

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