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Y92-69855-55749

2 vaccinations 4 coded responses 5 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
957 / CA
Registered
2021-07-09
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-09
    Registered in v-safe
  2. 2021-07-09
    Dose 1 — Pfizer-BioNTech
  3. 2021-07-25
    Survey response — day 14, dose 1
    MedDRA: Asthenia, Chest pain, Dyspnoea, Fatigue, Headache, Nasal congestion, Palpitations, Paraesthesia, Pyrexia, Tremor — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Heart pounding, chest pains, hard to breath. Tingling in arms and legs , hands , feet. Shaky muscles. Headache, fever. Nasal congestion. Tired, no energy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-07-30
    Dose 2 — Pfizer-BioNTech
  5. 2021-07-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  6. 2021-08-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myocarditis — Feeling: Good
    Free text: I need to make a correction. I only had the first dose. of I had symptoms of myocarditis
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-20
    Survey response — day 21, dose 2
    MedDRA: Dyspnoea, Muscular weakness, Palpitations, Tremor — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Heart racing , head pounding , cant breath. Weak muscles, shaky
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-29
    Survey response — day 28, dose 2
    MedDRA: Arrhythmia, Cardiac disorder, Dyspnoea, Hypoaesthesia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Heart issues. Couldnt breathe, rhythmic problems now. My numbness is back in my extremities. I personally want an alternative for my next vaccine. I dont want to keep going through this.
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-07-09Pfizer-BioNTech No
22021-07-30Pfizer-BioNTech No

Free text

Release 9 — day 14, dose 1

2021-07-25

Symptoms: Heart pounding, chest pains, hard to breath. Tingling in arms and legs , hands , feet. Shaky muscles. Headache, fever. Nasal congestion. Tired, no energy

Release 9 — days 1–6 daily, dose 2

2021-08-01

Systemic reaction (other): I need to make a correction. I only had the first dose. of I had symptoms of myocarditis

Release 9 — day 21, dose 2

2021-08-20

Symptoms: Heart racing , head pounding , cant breath. Weak muscles, shaky

Release 9 — day 28, dose 2

2021-08-29

Symptoms: Heart issues. Couldnt breathe, rhythmic problems now. My numbness is back in my extremities. I personally want an alternative for my next vaccine. I dont want to keep going through this.

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

FieldPreferred term2021-092023-042024-11
SDArrhythmia ✓ · ✓
SDAsthenia ✓ · ✓
SDCardiac disorder ✓ · ✓
SDChest pain ✓ · ✓
SDDyspnoea ✓ · ✓
SDFatigue ✓ · ✓
SDHeadache ✓ · ✓
SDHypoaesthesia ✓ · ✓
SDMuscular weakness ✓ · ✓
SDNasal congestion ✓ · ✓
SDPalpitations ✓ · ✓
SDParaesthesia ✓ · ✓
SDPyrexia ✓ · ✓
SDTremor ✓ · ✓
SROMyocarditis ✓ · ✓

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