2MJ-26772-87582

3 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 334 / FL
Registered: 2021-03-21

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

2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-21
Registered in v-safe
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Like having a hangover.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — day 7, dose 1
MedDRA: Cough, Neck pain, Oropharyngeal discomfort — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Some mild coughing, mild throat discomfort, and mild pain on the left of my neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Just took a nap and test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Affective disorder — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Moody feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Good

Free text: Sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 2
MedDRA: Somnolence — Feeling: Good

Free text: Sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Survey response — 3 months, dose 2
MedDRA: Ageusia, Anosmia, Arthralgia, Somnolence — Feeling: Fair

Free text: Lost of taste and somehow smell. Some drowsiness and once in awhile mild joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-10
Survey response — 6 months, dose 2
MedDRA: Ageusia, Alopecia, Anosmia, Retrograde ejaculation — Feeling: Fair

Free text: 1. Lost of smell and taste. Some days are dull like is getting back to normal, but this improvement is reversed. 2. Lost of hair. 3. Retrograde and/or ejaculation volume.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Dose 3 — Pfizer-BioNTech
2022-04-10
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Conjunctivitis, Oropharyngeal pain, Productive cough, SARS-CoV-2 test positive, Secretion discharge — 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 · Telehealth, virtual health, or email health consultation

Free text: I have a booster on 12/31/21 at (b)(6). Tested positive for COVID-19. Main symptoms are sore throat and coughing with mucus secretion, conjunctivitis, joint pains and others.

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-14
Call 1 — Requested Callback
2022-04-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech
3	2021-12-31	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Like having a hangover.

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Some mild coughing, mild throat discomfort, and mild pain on the left of my neck.

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): Just took a nap and test.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Moody feeling.

2021-04-16

Systemic reaction (other): Sleepy

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): Sleepiness

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: Lost of taste and somehow smell. Some drowsiness and once in awhile mild joint pain.

Release 10 — 6 months, dose 2

2021-10-10

Symptoms: 1. Lost of smell and taste. Some days are dull like is getting back to normal, but this improvement is reversed. 2. Lost of hair. 3. Retrograde and/or ejaculation volume.

Release 11 — 12 months, dose 2

2022-04-10

Symptoms: I have a booster on 12/31/21 at (b)(6). Tested positive for COVID-19. Main symptoms are sore throat and coughing with mucus secretion, conjunctivitis, joint pains and others.

redacted (b)(6)

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
SD	Ageusia	✓	✓	✓
SD	Alopecia	·	·	✓
SD	Anosmia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Conjunctivitis	·	·	✓
SD	Fatigue	○	○	○
SD	Oropharyngeal pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Retrograde ejaculation	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Affective disorder	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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