5XQ-18392-83475

4 vaccinations 11 coded responses 33 check-ins 11 free-text entries 10 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 303 / GA
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Right leg swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-26
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Survey response — day 14, dose 1
MedDRA: Myalgia — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Right leg muscles mayaliga

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 42, dose 2
MedDRA: Lung disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Lungs in bad shape

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Call successful
Not applicable - Accidental Reporting
2021-04-09
Call successful
Not applicable - Accidental Reporting
2021-05-12
Survey response — 3 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: chest ct scans indicate Covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Device dependence, Dyspnoea, Emergency care, Hospitalisation, Lung opacity, Oxygen saturation decreased — Feeling: Fair · 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, Hospitalization

Free text: Could not breathe followed by oxygen levels in 70s to low 80s. On constant oxygen thereafter. In ER lungs clouded and sent to covid floor. Refused ventilator. Used replacement machine. 3 weeks hosp. 2.5 mo of constant O2 reqd now still need low dse

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 6 months, dose 2
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)
2021-08-17
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 42, dose 3
MedDRA: Cardiac failure, Dyspnoea, Heart rate decreased, Oxygen saturation decreased, Supraventricular extrasystoles — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Low heart rate with bigeminey afib. High pulmonary pressure. ILD. ? on Some degree of heart failure. Some breath difficulties with reduced oxygen levels

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-04
Call successful
Not applicable - Accidental Reporting
2021-10-04
Call successful
Not applicable - Accidental Reporting
2021-10-04
Call successful
Not applicable - Accidental Reporting
2021-10-04
Call successful
Not applicable - Accidental Reporting
2022-02-15
Survey response — 6 months, dose 3
MedDRA: Brain fog, COVID-19, Malaise, Oropharyngeal pain — Feeling: Fair · 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: Got covid again ladt month. Omicron I think sine most symptoms were better in 5 dsys. Brain fog and light sore throat remain

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Report sent to call center — 6 months, dose 3
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 · 1 call case(s)
2022-02-16
Call successful
Not applicable - Accidental Reporting
2022-04-12
Dose 4 — Moderna
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-19
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-10
Survey response — day 28, dose 4
MedDRA: Dyspnoea, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle aches. Shortness's of breath

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — day 35, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pulmonary Hypertension plus severe right heart valve leakage

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-18
Call 1 — Left Voicemail
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-12
Survey response — 3 months, dose 4
MedDRA: Heart valve incompetence, Myalgia, Pulmonary arterial hypertension — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: PAH AND SEVERE TRICUSPID VALVE LEAK. Increased leg muscle pain

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-13
Call 1 — Left Voicemail
2022-07-13
Call 1 — Left Voicemail
2022-07-13
Call 1 — Left Voicemail
2022-07-13
Call 1 — Left Voicemail
2022-07-13
Call 1 — Left Voicemail
2022-07-13
Call 1 — Left Voicemail
2022-07-13
Call 1 — Left Voicemail
2022-07-13
Call 2 — Left Voicemail
2022-07-13
Call 1 — Left Voicemail
2022-10-13
Survey response — 6 months, dose 4
MedDRA: Bradycardia, Brain fog, Cardiac pacemaker insertion, Chest discomfort — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Bradycardia required pacemaker. Lungs more heavy breathing. Brain fog days more often · Healthcare visit (other): Pacemaker install

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-14
Call 3 — Left Voicemail
2022-10-14
Call 2 — Left Voicemail
2022-10-14
Call 1 — Left Voicemail
2023-04-13
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-08-17	Pfizer-BioNTech	No
4	2022-04-12	Moderna	No

Call center

10 call center cases

7 successful · 3 unsuccessful

7 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Right leg swelling

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Right leg muscles mayaliga

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Lungs in bad shape

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: chest ct scans indicate Covid

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Could not breathe followed by oxygen levels in 70s to low 80s. On constant oxygen thereafter. In ER lungs clouded and sent to covid floor. Refused ventilator. Used replacement machine. 3 weeks hosp. 2.5 mo of constant O2 reqd now still need low dse cut off by CDC

Release 9 — day 42, dose 3

2021-09-30

Symptoms: Low heart rate with bigeminey afib. High pulmonary pressure. ILD. ? on Some degree of heart failure. Some breath difficulties with reduced oxygen levels

Release 11 — 6 months, dose 3

2022-02-15

Symptoms: Got covid again ladt month. Omicron I think sine most symptoms were better in 5 dsys. Brain fog and light sore throat remain

Release 11 — day 28, dose 4

2022-05-10

Symptoms: Muscle aches. Shortness's of breath

Release 11 — day 35, dose 4

2022-05-17

Symptoms: Pulmonary Hypertension plus severe right heart valve leakage

Release 12 — 3 months, dose 4

2022-07-12

Symptoms: PAH AND SEVERE TRICUSPID VALVE LEAK. Increased leg muscle pain

Release 12 — 6 months, dose 4

2022-10-13

Symptoms: Bradycardia required pacemaker. Lungs more heavy breathing. Brain fog days more often

Healthcare visit (other): Pacemaker install

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	Cardiac pacemaker insertion	·	·	✓
SD	Bradycardia	·	·	✓
SD	Brain fog	·	·	✓
SD	Cardiac failure	·	·	✓
SD	Cardiac pacemaker insertion	·	·	✓
SD	Chest discomfort	·	·	✓
SD	COVID-19	✓	✓	✓
SD	Device dependence	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Emergency care	✓	·	✓
SD	Heart rate decreased	·	·	✓
SD	Heart valve incompetence	·	·	✓
SD	Hospitalisation	✓	·	✓
SD	Lung disorder	✓	✓	✓
SD	Lung opacity	✓	·	✓
SD	Malaise	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Oxygen saturation decreased	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary arterial hypertension	·	·	✓
SD	Supraventricular extrasystoles	·	·	✓
SRO	Peripheral swelling	✓	✓	✓

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