ZER-12450-58783

2 vaccinations 14 coded responses 23 check-ins 14 free-text entries 2 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 077 / NJ
Registered: 2021-02-05

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

2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-05
Registered in v-safe
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Heart rate increased — Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Free text: Elevated heart rate around 9 hours after injection. It did not last long but blood pressure was elevated at the time as well .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: Mild asthma like symptoms ( I do have asthma and allergies)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma — Feeling: Good · Fatigue or tiredness

Free text: Still have a asthma like feeling . I had a stent put in my lad 4 months ago and take blood thinners and blood pressure meds . I really hope this vaccine is not causing inflammation of my coronary arteries.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Good

Free text: Still have tightness is chest .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Good

Free text: Mild chest tightness and brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · Chills

Adult check-in
2021-02-18
Survey response — day 14, dose 1
MedDRA: Abnormal dreams — Feeling: Good

Free text: Crazy dreams . Never really had dreams this often maybe like 2-3 per month now its every night .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-25
Survey response — day 0, dose 2
MedDRA: Chest discomfort — Feeling: Good

Free text: Slight tightness in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth, Thirst — Feeling: Fair · Chills, Fatigue or tiredness, Nausea

Free text: Dry mouth / thirst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Lightheaded and had some tightness in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Hypopnoea, Muscle twitching, Musculoskeletal stiffness, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: Shallow breathing / tight chest , mild back and neck stiffness / twitching . Vitals are normal . FYI On blood thinners for heart stent .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good

Free text: Slightly elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Chills, Office visit — Feeling: Fair

Free text: Possible uti or prostatitis w/chills Went to primary care dr and urologist. Was told by primary care dr i had prostatitis but told I do not have it by urologist. Waiting to see if symptoms get worse per urologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 21, dose 2
MedDRA: Burning sensation, C-reactive protein increased, Dysuria, Full blood count normal, Metabolic function test normal, Office visit, Pollakiuria, Prostatitis — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Suspected prostatitis. Saw primary and urologist. Mild burning and frequent need to urinate on doxy. CBC and CMP are normal C reactive is elevated at 3.6 · Healthcare visit (other): Primary and urologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Survey response — day 35, dose 2
MedDRA: C-reactive protein increased, Office visit, Prostatitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still having prostatitis like symptoms 4 weeks after meds and slight elevated c reactive levels . Following up with a urologist and gastroenterologist. · Healthcare visit (other): Urologist and gastroenterologist visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-18	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-01	Successful 2021-06-09	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Elevated heart rate around 9 hours after injection. It did not last long but blood pressure was elevated at the time as well .

2021-02-06

Systemic reaction (other): Mild asthma like symptoms ( I do have asthma and allergies)

2021-02-07

Systemic reaction (other): Still have a asthma like feeling . I had a stent put in my lad 4 months ago and take blood thinners and blood pressure meds . I really hope this vaccine is not causing inflammation of my coronary arteries.

2021-02-08

Systemic reaction (other): Still have tightness is chest .

2021-02-09

Systemic reaction (other): Mild chest tightness and brain fog

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Crazy dreams . Never really had dreams this often maybe like 2-3 per month now its every night .

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): Slight tightness in chest

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Dry mouth / thirst

2021-02-27

Systemic reaction (other): Lightheaded and had some tightness in chest

2021-02-28

Systemic reaction (other): Shallow breathing / tight chest , mild back and neck stiffness / twitching . Vitals are normal . FYI On blood thinners for heart stent .

2021-03-02

Systemic reaction (other): Slightly elevated heart rate

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Possible uti or prostatitis w/chills Went to primary care dr and urologist. Was told by primary care dr i had prostatitis but told I do not have it by urologist. Waiting to see if symptoms get worse per urologist.

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Suspected prostatitis. Saw primary and urologist. Mild burning and frequent need to urinate on doxy. CBC and CMP are normal C reactive is elevated at 3.6

Healthcare visit (other): Primary and urologist

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Still having prostatitis like symptoms 4 weeks after meds and slight elevated c reactive levels . Following up with a urologist and gastroenterologist.

Healthcare visit (other): Urologist and gastroenterologist visits

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	Abnormal dreams	✓	✓	✓
SD	Burning sensation	○	✓	○
SD	C-reactive protein increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Dysuria	✓	·	✓
SD	Full blood count normal	○	✓	○
SD	Metabolic function test normal	○	✓	○
SD	Office visit	✓	✓	✓
SD	Pollakiuria	✓	✓	✓
SD	Prostatitis	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypopnoea	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Thirst	✓	✓	✓

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