22A-32740-20649

1 vaccination 9 coded responses 12 check-ins 9 free-text entries 4 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 038 / NH
Registered: 2021-05-08

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

2021-05-07
Dose 1 — Pfizer-BioNTech
2021-05-08
Registered in v-safe
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Sluggishness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: sluggish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia, Malaise, Pain, Productive cough — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work

Free text: i feel horriabl since saturday eveinv at about 630 pm i slept all away till 6am today monday the 10th i belive may ! still very achey spitting up flem like where is it comming from ! awful im awful still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: just blah

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, Malaise, Office visit, Rhinorrhoea — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea · 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: went to doctors ! had 1st shot friday the 7th started getting sick a hour or so after filling out first vsafe form so did not know sick was cominv ! anyways back to doctor ! went this morning they say ive COVID ! how wtf ? ive been near no one i got a shot thats it healthy as a race horse now a shot and iam for real feel like shit ! out of work for a year unable to collect unemployment vet back to work 2 weeks later im told i cant go back for at least 10 days ! wth ! again no money no hope and sick as can be .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
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)
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise, SARS-CoV-2 test positive, Unevaluable event — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · 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: Systemic reaction (other): as stated i belive yesterday i got 1st vaccine may 7th 2021 may 8th early eveing i started feeling ill and continued to do so right up to this moment ! may 12th 2021 i went to doctors was tested told i have COVID 19 ! so idk what is what im not feeling good annoyed as fuck as now no idea when i get second dose or if i need to start over and THE THING THAT Bothers me most at moment is this = i was in perfect health before shot i mean 59 years old and not a freaking twenty year old on this planet that could keep my pace so healthy as a horse untill shot then little over 24 hrs im in this state SICK ! so confusion is real . · Healthcare visit (other): may have to go back as information i need

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
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)
2021-05-14
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-22
Survey response — day 14, dose 1
MedDRA: Asthenia, Fatigue — Feeling: Poor · Be unable to work

Free text: exsausted , tired , feel no energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: im tired , exsausted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 28, dose 1
MedDRA: Asthenia, Fatigue, Rhinorrhoea — Feeling: Fair · 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: tired . runny nose . weak fatiuge

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 28, 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)
2021-06-11
Survey response — day 35, dose 1
MedDRA: Impaired work ability, Malaise — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: they are checking for blood clotting in the lungs ! how could i even consider a 2nd shot ? been out of work for weeks and because i tried to work i screw self with collecting unemployment drowning in bills sick as can be and eat how

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — day 35, dose 1
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)
2021-06-18
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-06-21
Call 1 — Could Not Reach Participant
2021-07-06
Call 2 — Could Not Reach Participant
2021-07-08
Call 3 — Could Not Reach Participant
2021-08-07
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-07	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-08

Systemic reaction (other): sluggish

2021-05-10

Systemic reaction (other): i feel horriabl since saturday eveinv at about 630 pm i slept all away till 6am today monday the 10th i belive may ! still very achey spitting up flem like where is it comming from ! awful im awful still

2021-05-11

Systemic reaction (other): just blah

2021-05-12

Systemic reaction (other): went to doctors ! had 1st shot friday the 7th started getting sick a hour or so after filling out first vsafe form so did not know sick was cominv ! anyways back to doctor ! went this morning they say ive COVID ! how wtf ? ive been near no one i got a shot thats it healthy as a race horse now a shot and iam for real feel like shit ! out of work for a year unable to collect unemployment vet back to work 2 weeks later im told i cant go back for at least 10 days ! wth ! again no money no hope and sick as can be .

2021-05-13

Systemic reaction (other): as stated i belive yesterday i got 1st vaccine may 7th 2021 may 8th early eveing i started feeling ill and continued to do so right up to this moment ! may 12th 2021 i went to doctors was tested told i have COVID 19 ! so idk what is what im not feeling good annoyed as fuck as now no idea when i get second dose or if i need to start over and THE THING THAT Bothers me most at moment is this = i was in perfect health before shot i mean 59 years old and not a freaking twenty year old on this planet that could keep my pace so healthy as a horse untill shot then little over 24 hrs im in this state SICK ! so confusion is real .

Healthcare visit (other): may have to go back as information i need

Release 8 — day 14, dose 1

2021-05-22

Symptoms: exsausted , tired , feel no energy

Release 8 — day 21, dose 1

2021-05-29

Symptoms: im tired , exsausted

Release 8 — day 28, dose 1

2021-06-04

Symptoms: tired . runny nose . weak fatiuge

Release 9 — day 35, dose 1

2021-06-11

Symptoms: they are checking for blood clotting in the lungs ! how could i even consider a 2nd shot ? been out of work for weeks and because i tried to work i screw self with collecting unemployment drowning in bills sick as can be and eat how

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	Unevaluable event	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓
SRO	Sluggishness	✓	✓	✓

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