YN6-20109-01098

1 vaccination 7 coded responses 7 check-ins 7 free-text entries 4 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 334 / FL
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-09
Survey response — day 0, dose 1
MedDRA: Hypertension, Palpitations — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: As soon as I was injected my heart started racing and my blood pressure shot up to 165/120

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 0, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Emergency care, Hypertension, Muscular weakness, Unevaluable event — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Chest still feels weak from yesterdays high blood pressure event. I feel weak and not 100% recovered after my ER visit. · Healthcare visit (other): Seeing regular doctor next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Blood pressure measurement, Chest pain, Dizziness, Heart rate increased, Malaise — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest pains and lightheaded. Probably from my high heart rate and blood pressure event on Friday. Wish I never got the vaccine. I just dont feel good at all.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dizziness — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, 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: Chest pain and light headed still. Have not improved one bit since my shot on Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — days 1–6 daily, dose 1
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)
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dizziness, Head discomfort — Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pain, head pressure, lightheaded.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dizziness, Head discomfort — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pain, lightheaded, head pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dizziness, Office visit — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Chest pain, lightheaded · Healthcare visit (other): Family doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — days 1–6 daily, dose 1
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)
2021-12-22
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-09	Successful	Participant prefers to complete VAERS report online
2021-04-10	Successful	Participant prefers to complete VAERS report online
2021-04-12	Successful	Participant prefers to complete VAERS report online
2021-04-15	Successful 2021-12-22	Participant prefers to complete VAERS report online

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): As soon as I was injected my heart started racing and my blood pressure shot up to 165/120

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Chest still feels weak from yesterdays high blood pressure event. I feel weak and not 100% recovered after my ER visit.

Healthcare visit (other): Seeing regular doctor next week.

2021-04-11

Systemic reaction (other): Chest pains and lightheaded. Probably from my high heart rate and blood pressure event on Friday. Wish I never got the vaccine. I just dont feel good at all.

2021-04-12

Systemic reaction (other): Chest pain and light headed still. Have not improved one bit since my shot on Monday.

2021-04-13

Systemic reaction (other): Chest pain, head pressure, lightheaded.

2021-04-14

Systemic reaction (other): Chest pain, lightheaded, head pressure

2021-04-15

Systemic reaction (other): Chest pain, lightheaded

Healthcare visit (other): Family doctor.

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	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Blood pressure increased	✓	·	✓
SRO	Blood pressure measurement	○	✓	○
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Malaise	✓	·	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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