35N-19420-84833

2 vaccinations 16 coded responses 20 check-ins 16 free-text entries 5 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 333 / FL
Registered: 2021-04-07

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-07
Survey response — day 0, dose 1
MedDRA: Dizziness, Fatigue — Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness, Diarrhea

Free text: Dizziness after injection, following lunch, eye rubbing, tired feeling, about an hour in duration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Agitation — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to work or attend school

Free text: Agitation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Poor · Headache, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: Ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: ringing in both ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Diarrhea

Free text: None, no ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Some timing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-23
Survey response — day 14, dose 1
MedDRA: Dizziness, Respiratory tract congestion, Tinnitus — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Congestion, sinuses, moderate. Ear ringing, moderate. Decreased irritability. Dizziness, mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Malaise, Myalgia, Restlessness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Neck, shoulder, lower back muscle aching, restlessness & fatigue; malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Epistaxis, Oropharyngeal pain, Throat irritation — Feeling: Fair · Site: Pain, Itching · Diarrhea

Free text: Sore, irritated, itching throat, spots of blood in clear mucus from nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Tinnitus — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Ringing, both ears, intermittently. Congestion from nose clear and green, no red spots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Office visit, Paranasal sinus discomfort, Tinnitus — Feeling: Fair · Headache, Muscle or body aches, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Ringing , both ears, sinus pressure, eye pressure · Healthcare visit (other): (b)(6), MD, (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Melaena, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Tarry stool, rapid heart beat, ringing both ears: angst · Healthcare visit (other): (b)(6), NP, (b)(6), (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Cold sweat, Unevaluable event — Feeling: Fair · Fever · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Clammy skin, angst · Healthcare visit (other): Started Effexor, ting ting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Survey response — day 7, dose 2
MedDRA: Depression — Feeling: Fair · Site: Swelling · Nausea · Be unable to do your normal daily activities

Free text: Repression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 14, dose 2
MedDRA: Bruxism, Ejaculation failure — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Grinding teeth, unable to ejaculate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Blepharospasm, Impaired work ability, Ligament sprain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Told Im too slow for work. Spraining pain through right ankle. Twitching left eye lid

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-07

Systemic reaction (other): Dizziness after injection, following lunch, eye rubbing, tired feeling, about an hour in duration

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Agitation

2021-04-10

Systemic reaction (other): Ear ringing

2021-04-11

Systemic reaction (other): ringing in both ears

2021-04-12

Systemic reaction (other): None, no ringing in ears

2021-04-13

Systemic reaction (other): Some timing in ears

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Congestion, sinuses, moderate. Ear ringing, moderate. Decreased irritability. Dizziness, mild.

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Neck, shoulder, lower back muscle aching, restlessness & fatigue; malaise

2021-04-25

Systemic reaction (other): Sore, irritated, itching throat, spots of blood in clear mucus from nose

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Ringing, both ears, intermittently. Congestion from nose clear and green, no red spots

2021-04-27

Systemic reaction (other): Ringing , both ears, sinus pressure, eye pressure

Healthcare visit (other): (b)(6), MD, (b)(6)

redacted (b)(6)

2021-04-28

Systemic reaction (other): Tarry stool, rapid heart beat, ringing both ears: angst

Healthcare visit (other): (b)(6), NP, (b)(6), (b)(6)

redacted (b)(6)

2021-04-29

Systemic reaction (other): Clammy skin, angst

Healthcare visit (other): Started Effexor, ting ting

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Repression

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Grinding teeth, unable to ejaculate

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Told Im too slow for work. Spraining pain through right ankle. Twitching left eye lid

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
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	·	✓
SD	Blepharospasm	✓	·	✓
SD	Bruxism	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ejaculation failure	✓	✓	✓
SD	Impaired work ability	✓	·	✓
SD	Ligament sprain	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Agitation	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Melaena	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Restlessness	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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