335-32074-71943

3 vaccinations 12 coded responses 29 check-ins 12 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 100 / NY
Registered: 2021-03-29

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-29
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Exacerbated pre-existing neuropathic pain in injected arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: Suspect symptoms are unrelated to vaccine; most likely from other chronic condition.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-30
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Believe unrelated to vaccine (pre-existing conditions)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 21, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Recent loose stools; treating w/ Loperamide. Ingrown toenail: a periodic recurring conditionable to cut out, found minor infection, am treating as have in past; infection appears to be resolved, swelling down, pain reduced; daily hot soaks cont.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Increased viscosity of upper respiratory secretion, Pre-existing disease, Productive cough, Sputum discoloured — Feeling: Fair

Free text: Chronic minor unproductive cough Ive had for last 16 months has gotten a bit worse & become somewhat productive occasionally producing clear thickened or sometimes somewhat whitened phlegm. Also some abdominal discomfort. Will schedule MD for cou

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 35, dose 2
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sporadic migraines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-24
Survey response — 6 months, dose 2
MedDRA: Food poisoning — Feeling: Fair · Be unable to work or attend school

Free text: Food poisoning. Symptoms suspicious of salmonella; likely vector raw onions in salad.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Diarrhoea, Salmonellosis, Self-medication — Feeling: Poor · Site: Pain · Muscle or body aches, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diarrhea was severe; left me wondering if I had somehow picked up contaminated food & become infected with salmonella again: had nasty bout ~roughly 4 weeks agobased on symptoms & easy food match). TX with antispasmodic & Imodium have stopped loose

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — day 7, dose 3
MedDRA: Injection site pain, Pre-existing disease — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Injection site pain is ONLY flu site now; COVID side appears normal. Other symptoms strike me as probably unrelated to COVID as they are consistent with periodic symp. of other conditions I have.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — day 14, dose 3
MedDRA: Myalgia, Self-medication — Feeling: Fair

Free text: Muscular pain in arms returned (both sides), varies between mild and moderate over the course of the day. Insure why but not related to exercise; occasional single dose ibuprofen may account for periods of time where pain was absent.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Survey response — day 42, dose 3
MedDRA: Salmonellosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: (in disbelief) I apparently acquired salmonellaagain. Those onions... (I am excluding the transient salmonella symptoms from my self-assessment below)

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech
3	2021-11-01	Pfizer-BioNTech	Flu

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Exacerbated pre-existing neuropathic pain in injected arm

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Suspect symptoms are unrelated to vaccine; most likely from other chronic condition.

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Believe unrelated to vaccine (pre-existing conditions)

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Recent loose stools; treating w/ Loperamide. Ingrown toenail: a periodic recurring conditionable to cut out, found minor infection, am treating as have in past; infection appears to be resolved, swelling down, pain reduced; daily hot soaks cont.

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Chronic minor unproductive cough Ive had for last 16 months has gotten a bit worse & become somewhat productive occasionally producing clear thickened or sometimes somewhat whitened phlegm. Also some abdominal discomfort. Will schedule MD for cou

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Sporadic migraines.

Release 10 — 6 months, dose 2

2021-10-24

Symptoms: Food poisoning. Symptoms suspicious of salmonella; likely vector raw onions in salad.

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Diarrhea was severe; left me wondering if I had somehow picked up contaminated food & become infected with salmonella again: had nasty bout ~roughly 4 weeks agobased on symptoms & easy food match). TX with antispasmodic & Imodium have stopped loose cut off by CDC

Release 10 — day 7, dose 3

2021-11-08

Systemic reaction (other): Injection site pain is ONLY flu site now; COVID side appears normal. Other symptoms strike me as probably unrelated to COVID as they are consistent with periodic symp. of other conditions I have.

Release 10 — day 14, dose 3

2021-11-15

Symptoms: Muscular pain in arms returned (both sides), varies between mild and moderate over the course of the day. Insure why but not related to exercise; occasional single dose ibuprofen may account for periods of time where pain was absent.

Release 10 — day 28, dose 3

2021-11-29

Symptoms: Fatigue

Release 10 — day 42, dose 3

2021-12-13

Symptoms: (in disbelief) I apparently acquired salmonellaagain. Those onions... (I am excluding the transient salmonella symptoms from my self-assessment below)

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	Abdominal discomfort	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Food poisoning	·	·	✓
SD	Increased viscosity of upper respiratory secretion	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Salmonellosis	·	·	✓
SD	Self-medication	·	·	✓
SD	Sputum discoloured	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Diarrhoea	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Salmonellosis	·	·	✓
SRO	Self-medication	·	·	✓

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