65M-13075-51977

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 6 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 060 / CT
Registered: 2021-04-01

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Headache, Pain — Feeling: Fair

Free text: Lots of headaches and body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — day 28, dose 2
MedDRA: Dizziness, Emergency care, Headache, Loss of consciousness — Feeling: Fair · Be unable to work, 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: I had 2 sudden black out on weds afternoon i ended up in the ER suddenly feelibg light headed and lots of headeache i have to follow up with a cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-05
Survey response — day 35, dose 2
MedDRA: Dizziness, Headache, Office visit, Palpitations — Feeling: Fair · Be unable to work, 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: Symptoms: Headaches dizziness and heart palpitations · Healthcare visit (other): Primary doc to get referral for a cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-12
Survey response — day 42, dose 2
MedDRA: Brain fog, Dizziness, Hypertension, Palpitations, Unevaluable event — Feeling: Poor · 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, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Heart palpitations high blood presure dizziness and fogginess · Healthcare visit (other): Xray for the head and chest bloodwork at a different facility

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
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)
2021-06-18
Call 1 — Left Voicemail
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Blood pressure increased, Hypertension — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Hypertension high nlood pressure

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Report sent to call center — 3 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)
2021-10-20
Call 1 — Left Voicemail
2021-10-30
Survey response — 6 months, dose 2
MedDRA: Dizziness, Hypertension, Palpitations — Feeling: Fair · Be unable to work or attend school, 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: Hi blood pressure heart palpitations liggt headed

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-20
Call 1 — Left Voicemail
2022-05-01
Survey response — 12 months, dose 2
MedDRA: Hypertension, Palpitations — Feeling: Fair · 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, Emergency room or emergency department visit, Hospitalization

Free text: High blood pressure and random heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 12 months, dose 2
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech

Call center

6 call center cases

6 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Lots of headaches and body aches

Release 8 — day 28, dose 2

2021-05-29

Symptoms: I had 2 sudden black out on weds afternoon i ended up in the ER suddenly feelibg light headed and lots of headeache i have to follow up with a cardiologist

Release 8 — day 35, dose 2

2021-06-05

Symptoms: Headaches dizziness and heart palpitations

Healthcare visit (other): Primary doc to get referral for a cardiologist

Release 9 — day 42, dose 2

2021-06-12

Symptoms: Heart palpitations high blood presure dizziness and fogginess

Healthcare visit (other): Xray for the head and chest bloodwork at a different facility

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: Hypertension high nlood pressure

Release 10 — 6 months, dose 2

2021-10-30

Symptoms: Hi blood pressure heart palpitations liggt headed

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: High blood pressure and random heart palpitations

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Blood pressure increased	✓	·	✓
SD	Brain fog	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Loss of consciousness	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓

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