34Y-16133-18662

3 vaccinations 11 coded responses 25 check-ins 11 free-text entries 2 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 061 / CT
Registered: 2021-01-27

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good · Chills

Free text: The other nights for like 2 days I had chills later in the evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Headache — Feeling: Good · Headache

Free text: Head ache is one and off that last for a few seconds. I don't believe it's vaccine related. Maybe increased anxiety a little bit though idk if that's just me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Pfizer-BioNTech
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Random chest pain that comes and goes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Good · Site: Pain

Free text: My left eye is sore. And my right knee isn't great

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Good

Free text: Left eye pain, mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort, Ocular discomfort — Feeling: Good

Free text: Left eye discomfort though I don't think it's attributed to the vaccine been ages since I had eye exam and head pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 7, dose 2
MedDRA: Hospitalisation — Feeling: Good · Headache

Free text: At the hospital currently for something not related. Might have MS or develope it later on in life

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 14, dose 2
MedDRA: Headache, Lumbar puncture, Magnetic resonance imaging abnormal, Optic neuritis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: I don't think it's associated with the vaccine but I ended up getting optic neuritis 6 days into the vaccine, needed mri and spinal tap done. Still have head ache from spinal tap

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 28, dose 2
MedDRA: Asthma, Exposure to fungus, Pre-existing disease, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mold in my apartment causing me to itch every where and my asthma to worsen. Not vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-20
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-21
Survey response — 6 months, dose 3
MedDRA: Splenic cyst, Unevaluable event — Feeling: Good

Free text: Potentially passed a kidney stone, spleen cyst

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — 12 months, dose 3
MedDRA: Cholecystectomy, Hypotension — Feeling: Good

Free text: Low blood pressure, had to get gallbladder taken out.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-18	Pfizer-BioNTech
3	2021-09-20	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): The other nights for like 2 days I had chills later in the evening.

2021-02-01

Systemic reaction (other): Head ache is one and off that last for a few seconds. I don't believe it's vaccine related. Maybe increased anxiety a little bit though idk if that's just me.

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Random chest pain that comes and goes.

2021-02-20

Systemic reaction (other): My left eye is sore. And my right knee isn't great

2021-02-21

Systemic reaction (other): Left eye pain, mild.

2021-02-23

Systemic reaction (other): Left eye discomfort though I don't think it's attributed to the vaccine been ages since I had eye exam and head pressure

Release 4 — day 7, dose 2

2021-02-25

Systemic reaction (other): At the hospital currently for something not related. Might have MS or develope it later on in life

Release 5 — day 14, dose 2

2021-03-06

Symptoms: I don't think it's associated with the vaccine but I ended up getting optic neuritis 6 days into the vaccine, needed mri and spinal tap done. Still have head ache from spinal tap

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Mold in my apartment causing me to itch every where and my asthma to worsen. Not vaccine related.

Release 11 — 6 months, dose 3

2022-03-21

Symptoms: Potentially passed a kidney stone, spleen cyst

Release 12 — 12 months, dose 3

2022-09-20

Symptoms: Low blood pressure, had to get gallbladder taken out.

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	Asthma	✓	✓	○
SD	Cholecystectomy	·	·	✓
SD	Exposure to fungus	✓	·	✓
SD	Headache	✓	·	✓
SD	Hypotension	·	·	✓
SD	Lumbar puncture	○	✓	○
SD	Magnetic resonance imaging abnormal	○	✓	○
SD	Optic neuritis	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Pruritus	✓	✓	○
SD	Splenic cyst	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hospitalisation	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓

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