28M-43585-29319

4 vaccinations 11 coded responses 20 check-ins 11 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 656 / MO
Registered: 2021-04-05

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

2021-03-08
Dose 1 — Pfizer-BioNTech
2021-03-29
Dose 2 — Pfizer-BioNTech
2021-04-05
Registered in v-safe
2021-04-05
Survey response — day 7, dose 2
MedDRA: Arthropod bite, Chills, Fatigue, Hyperhidrosis — Feeling: Good · Site: Pain

Free text: Yes, it appears that normal tick intrusions are being met with immediate death...another words I have found five ticks several times since my second shot, they are dead immediacy, that has never happened before, they are usually alive when I find them on me. Also the day of the second shot I had severe chills and swears, and extreme tiredness for about 30 hours the just tired. First shot just tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 14, dose 2
MedDRA: Therapeutic response unexpected, Unevaluable event — Feeling: Good

Free text: Ticks dyeing immediately when they bite me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 21, dose 2
MedDRA: Chills, Hyperhidrosis — Feeling: Fair

Free text: Excessive sweating and chills at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 28, dose 2
MedDRA: Chills, Hyperhidrosis — Feeling: Fair

Free text: More sweats and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Survey response — day 42, dose 2
MedDRA: Night sweats, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Excessive sweating early morning hours between 4-6 am. This has been ongoing only since the vaccinations, and I notice now a complete change in sleep patterns.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Biliary colic, Biliary dilatation, Emergency care — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Gall bladder pain trip to er, diagnosed dialect billary tract

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-01
Call 1 — Left Voicemail
2021-10-06
Dose 3 — Pfizer-BioNTech
2022-03-29
Survey response — 12 months, dose 2
MedDRA: COVID-19, Office visit — 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

Free text: Symptoms: Covid · Healthcare visit (other): Visit to dr

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-30
Call 1 — Left Voicemail
2022-04-06
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activities

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Dose 4 — Pfizer-BioNTech
2022-05-15
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Good

Free text: Perfect shot

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-05-19
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-02
Survey response — day 21, dose 4
MedDRA: Hypopnoea, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swallowing, breathing and sleeping

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-23
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-13
Survey response — 3 months, dose 4
MedDRA: COVID-19 — Feeling: Good

Free text: Positive for covid

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Pfizer-BioNTech
2	2021-03-29	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-05-12	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — day 7, dose 2

2021-04-05

Systemic reaction (other): Yes, it appears that normal tick intrusions are being met with immediate death...another words I have found five ticks several times since my second shot, they are dead immediacy, that has never happened before, they are usually alive when I find them on me. Also the day of the second shot I had severe chills and swears, and extreme tiredness for about 30 hours the just tired. First shot just tired

Release 7 — day 14, dose 2

2021-04-12

Symptoms: Ticks dyeing immediately when they bite me

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Excessive sweating and chills at night

Release 8 — day 28, dose 2

2021-04-26

Symptoms: More sweats and chills

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Excessive sweating early morning hours between 4-6 am. This has been ongoing only since the vaccinations, and I notice now a complete change in sleep patterns.

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Gall bladder pain trip to er, diagnosed dialect billary tract

Release 11 — 12 months, dose 2

2022-03-29

Symptoms: Covid

Healthcare visit (other): Visit to dr

Release 11 — 6 months, dose 3

2022-04-06

Symptoms: Covid

Release 11 — days 1–6 daily, dose 4

2022-05-15

Systemic reaction (other): Perfect shot

Release 11 — day 21, dose 4

2022-06-02

Symptoms: Swallowing, breathing and sleeping

Release 12 — 3 months, dose 4

2022-08-13

Symptoms: Positive for covid

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	Biliary colic	·	·	✓
SD	Biliary dilatation	·	·	✓
SD	Chills	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Emergency care	·	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Hypopnoea	·	·	✓
SD	Night sweats	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Somnolence	·	·	✓
SD	Therapeutic response unexpected	✓	·	✓
SD	Unevaluable event	○	✓	○
SRO	Arthropod bite	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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