6LD-11883-49236
2 vaccinations
5 coded responses
9 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 983 / WA
- Registered
- 2021-05-26
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-04
Dose 1 — Pfizer-BioNTech
-
2021-05-25
Dose 2 — Pfizer-BioNTech
-
2021-05-26
Registered in v-safe
-
2021-05-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-06-01
- 2021-06-08
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2021-06-15
Survey response — day 21, dose 2MedDRA: Arthralgia, Chest discomfort, Dyspnoea, Headache, Muscle spasms — Feeling: Good · Be unable to work or attend schoolFree text: shortness of breath, pain and pressure in chest combined with throbbing head ache. Ache in both elbows/behind both knees + cramps in back of both thighs. WAS reported in previous last 2 weekly check-insMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Survey response — day 42, dose 2MedDRA: Arthralgia, Chest pain, Dyspnoea — Feeling: Good · Be unable to work or attend schoolFree text: still have pain in knees, occasional shortness of breath with chest pain. NO left arm symptom or other heart attack markers.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-24
Survey response — 3 months, dose 2MedDRA: Acute myocardial infarction, Arthralgia, Emergency care, Office visit — 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 · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: heart attack (WidowMaker)on 8/11/2021pain behind knees completely gone afterwards.Was reported by hospital & treating doctors to proper agencies that are monitoring Covid-19 vaccinations · Healthcare visit (other): Cardiologist visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-08-30
Call successfulCompleted over the phone
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2021-11-23
Survey response — 6 months, dose 2MedDRA: Acute myocardial infarction, Coronary arterial stent insertion, Coronary artery occlusion, Emergency care, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 99% occlusion of an artery feeding my heart. Doctors called it a Widowmaker heart attack. Had it on 8/11/21. Doctors attribute it to having had covid-19 Jan 2020 AND getting vaccinated 5/25/21. Had emergent surgery to clear blockage & place a stentMedDRA releases: 2024-11 · check-in free text available
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2022-05-25
Survey response — 12 months, dose 2MedDRA: Pancreatitis acute, Umbilical hernia, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Acute pancreatitis with vomiting severe enough to cause a herniated umbilical requiring surgery.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Pfizer-BioNTech | |
| 2 | 2021-05-25 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — day 21, dose 2
Symptoms: shortness of breath, pain and pressure in chest combined with throbbing head ache. Ache in both elbows/behind both knees + cramps in back of both thighs. WAS reported in previous last 2 weekly check-ins
Release 9 — day 42, dose 2
Symptoms: still have pain in knees, occasional shortness of breath with chest pain. NO left arm symptom or other heart attack markers.
Release 9 — 3 months, dose 2
Symptoms: heart attack (WidowMaker)on 8/11/2021pain behind knees completely gone afterwards.Was reported by hospital & treating doctors to proper agencies that are monitoring Covid-19 vaccinations
Healthcare visit (other): Cardiologist visit
Release 10 — 6 months, dose 2
Symptoms: 99% occlusion of an artery feeding my heart. Doctors called it a Widowmaker heart attack. Had it on 8/11/21. Doctors attribute it to having had covid-19 Jan 2020 AND getting vaccinated 5/25/21. Had emergent surgery to clear blockage & place a stent cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Acute pancreatitis with vomiting severe enough to cause a herniated umbilical requiring surgery.
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 | Acute myocardial infarction | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Coronary arterial stent insertion | · | · | ✓ |
| SD | Coronary artery occlusion | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pancreatitis acute | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Umbilical hernia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release