33G-23700-00118

3 vaccinations 8 coded responses 38 check-ins 7 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 275 / NC
Registered: 2021-05-08

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

2021-05-08
Registered in v-safe
2021-05-08
Dose 1 — Pfizer-BioNTech
2021-05-08
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tiredness

Free text: Moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-30
Dose 2 — Pfizer-BioNTech
2021-05-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-31
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hip joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Balance disorder, Fatigue, Headache, Tinnitus — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild joint pains when I got up, unbalanced. By the time I got dressed I was exhausted and so sore, and my headache was so bad that I had to lie down again. It has been about 4 hours now, the ringing in the ears, headache has not gotten any better, but I am going to try to get up again. This is much like yesterday. I was able to stay up yesterday after a similar episode.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — days 1–6 daily, dose 2
MedDRA: Depression, Fatigue — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Just fatigue and depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-20
Survey response — day 21, dose 2
MedDRA: Rest regimen — Feeling: Good · Be unable to do your normal daily activities

Free text: Down for 3 days, 6/7 - 6/9. Unable to get out of bed. Has not happened before like this, but i cannot attribute to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-08-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-28
Survey response — 6 months, dose 2
MedDRA: Fatigue, Myocardial infarction, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart attack 10/17/21. Chronic fatigue worsened.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Dose 3 — Pfizer-BioNTech
2022-05-05
Health check-in — day 0, dose 3
Feeling: Fair · None

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-12
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-19
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-05-26
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-06-03
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-06-09
Survey response — day 35, dose 3
MedDRA: Catheterisation cardiac, Chest pain, Emergency care, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Chest pains, left arm pains sent me to hospital for cardiac catheterization.

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-04
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-11-03
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-05-05
Survey response — 12 months, dose 3
MedDRA: Cough, Fatigue, Feeling abnormal — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-08	Pfizer-BioNTech
2	2021-05-30	Pfizer-BioNTech
3	2022-05-05	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-11

Systemic reaction (other): Moderate

Release 8 — days 1–6 daily, dose 2

2021-05-31

Systemic reaction (other): Hip joint pain

2021-06-01

Systemic reaction (other): Mild joint pains when I got up, unbalanced. By the time I got dressed I was exhausted and so sore, and my headache was so bad that I had to lie down again. It has been about 4 hours now, the ringing in the ears, headache has not gotten any better, but I am going to try to get up again. This is much like yesterday. I was able to stay up yesterday after a similar episode.

2021-06-02

Systemic reaction (other): Just fatigue and depression

Release 9 — day 21, dose 2

2021-06-20

Symptoms: Down for 3 days, 6/7 - 6/9. Unable to get out of bed. Has not happened before like this, but i cannot attribute to the vaccine.

Release 10 — 6 months, dose 2

2021-11-28

Symptoms: Heart attack 10/17/21. Chronic fatigue worsened.

Release 11 — day 35, dose 3

2022-06-09

Symptoms: Chest pains, left arm pains sent me to hospital for cardiac catheterization.

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	Catheterisation cardiac	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Myocardial infarction	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rest regimen	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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