33G-87625-54488

4 vaccinations 17 coded responses 37 check-ins 16 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 941 / CA
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Janssen/Johnson & Johnson
2021-03-23
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Good · Chills, Headache, Fatigue or tiredness

Free text: I worked out yesterday and its cold and windy today, I have been outdoors mostly today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Normal, about the same. Going for 30 min jog/walk.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pushed myself out the door and completed a jog/walk.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Did 30+ minutes of walking today. Warm/sunny outside

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event, Unevaluable event — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Did a short 30 minute trip by walk/bus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Feeling a little better, no exercise today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Joint pains, Muscle or body aches

Free text: Took a hour long walk, chilly but sunny out. Felt o.k.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-04
Survey response — day 42, single dose
MedDRA: Joint stiffness, Pain, Pre-existing disease — Feeling: Fair

Free text: Seasonal allergies, aches and joint stiffness. Training for a 10k run too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — 3 months, dose 1
MedDRA: Atrial fibrillation — Feeling: Poor

Free text: Afib per cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-21
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-10-23
Dose 2 — Pfizer-BioNTech
2021-10-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-10-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-11-13
Survey response — day 21, dose 2
MedDRA: Abdominal distension, Brain fog, Fatigue, Memory impairment, Unevaluable event — Feeling: Fair

Free text: Mental fogginess, forgetful. Bloating, digestion. Tired more than usual.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — day 28, dose 2
MedDRA: Influenza like illness, Malaise, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Felt under the weather a couple days. A little like flu or ate something that didnt agree. Some nausea and stayed in.

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-12-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-25
Survey response — 3 months, dose 2
MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, some cold symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Dose 3 — Pfizer-BioNTech
2022-04-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-02
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-09-22
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-23
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Did weights/cardio on 9/22 too.

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal distension — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Feel bloated, bike ride 10 miles yesterday, sore today.

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal distension, Poor quality sleep — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Didnt sleep well last night, felt bloated today

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Survey response — day 7, dose 4
MedDRA: Exercise tolerance decreased — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Got some excercise today. Somewhat better.

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-13
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-03
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-22
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-23
Survey response — 6 months, dose 4
MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Janssen/Johnson & Johnson
2	2021-10-23	Pfizer-BioNTech	No
3	2022-03-31	Pfizer-BioNTech	No
4	2022-09-22	Pfizer-BioNTech	Flu

Free text

Release 6 — day 0, dose 1

2021-03-23

Systemic reaction (other): I worked out yesterday and its cold and windy today, I have been outdoors mostly today.

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Normal, about the same. Going for 30 min jog/walk.

2021-03-25

Systemic reaction (other): Pushed myself out the door and completed a jog/walk.

2021-03-26

Systemic reaction (other): Did 30+ minutes of walking today. Warm/sunny outside

2021-03-27

Systemic reaction (other): Did a short 30 minute trip by walk/bus.

2021-03-28

Systemic reaction (other): Feeling a little better, no exercise today.

2021-03-29

Systemic reaction (other): Took a hour long walk, chilly but sunny out. Felt o.k.

Release 8 — day 42, single dose

2021-05-04

Symptoms: Seasonal allergies, aches and joint stiffness. Training for a 10k run too.

Release 9 — 3 months, dose 1

2021-06-22

Symptoms: Afib per cardiologist

Release 10 — day 21, dose 2

2021-11-13

Symptoms: Mental fogginess, forgetful. Bloating, digestion. Tired more than usual.

Release 10 — day 28, dose 2

2021-11-20

Symptoms: Felt under the weather a couple days. A little like flu or ate something that didnt agree. Some nausea and stayed in.

Release 11 — 3 months, dose 2

2022-01-25

Symptoms: Cough, some cold symptoms.

Release 12 — days 1–6 daily, dose 4

2022-09-23

Systemic reaction (other): Did weights/cardio on 9/22 too.

2022-09-25

Systemic reaction (other): Feel bloated, bike ride 10 miles yesterday, sore today.

2022-09-26

Systemic reaction (other): Didnt sleep well last night, felt bloated today

Release 12 — day 7, dose 4

2022-09-29

Systemic reaction (other): Got some excercise today. Somewhat better.

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 distension	·	·	✓
SD	Atrial fibrillation	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Influenza	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Joint stiffness	✓	✓	✓
SD	Malaise	·	·	✓
SD	Memory impairment	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Abdominal distension	·	·	✓
SRO	Exercise tolerance decreased	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Poor quality sleep	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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