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3BA-30621-90252

3 vaccinations 16 coded responses 34 check-ins 16 free-text entries 1 call case
Sex
Male
Age at first dose
56-60
ZIP prefix
958 / CA
Registered
2021-06-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-21
    Registered in v-safe
  2. 2021-06-21
    Dose 1 — Pfizer-BioNTech
  3. 2021-06-21
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-06-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Insomnia — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Injection site pain. Insomnia.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-06-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-06-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-06-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: insomnia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-06-28
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-07-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-07-12
    Dose 2 — Pfizer-BioNTech
  13. 2021-07-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-07-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-07-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-07-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-07-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-07-19
    Survey response — day 7, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: I've battled fatigue for the last 3.5 years ... so it's not neccessarily from the vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-07-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-09
    Survey response — day 28, dose 2
    MedDRA: Nephrolithiasis — Feeling: Good · Be unable to do your normal daily activities
    Free text: Not Covid related ... passed a kidney stone a week or so ago plus maybe minor UTI ... or another stone lol
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2021-08-16
    Survey response — day 35, dose 2
    MedDRA: Skin irritation, Urinary tract discomfort, Urinary tract infection — Feeling: Good
    Free text: Urinary tract infection (minor irritation, discomfort for 2 or 3days last week ... treated with Azzo & Flomax) ... possibly related to recent passing of kidney stone the previous week.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2021-08-23
    Survey response — day 42, dose 2
    MedDRA: Back pain, Fatigue, Pain in extremity — Feeling: Good
    Free text: Tired, sore legs, & sore back. BUT, I just returned to work teaching ... & these are typical of the 1st week or two of the school year for teachers. Thought I'd report it, just in case.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2021-10-12
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Insomnia, Tinnitus, Vestibular migraine — Feeling: Fair · Be unable to do your normal daily activities
    Free text: fatigue, sleeplessness, ear ringing & vestibular migraines
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-01-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-01-16
    Dose 3 — Pfizer-BioNTech
  28. 2022-01-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Dry throat, Oropharyngeal pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: 1) Top of right foot is sore fir last three days ... no idea why 2) dry, sore throat last night ... woke up coughing
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-01-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Insomnia, Pain in extremity — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Insomnia: didnt get to sleep until 4am ... top of my right foot is sore (no clue what caused it)
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-01-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain in extremity — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: sore foot
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-01-25
    Survey response — day 7, dose 3
    MedDRA: Insomnia, Pain in extremity — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Insomnia ... sore foot
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-01-30
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  33. 2022-02-06
    Survey response — day 21, dose 3
    MedDRA: Fatigue, Insomnia, Migraine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: #NAME?
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-02-13
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  35. 2022-02-20
    Survey response — day 35, dose 3
    MedDRA: Abdominal pain lower, Chromaturia, Dysuria, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Lower abdomen pain ... stings a little when i pee ... slight pink color to my urine
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-02-27
    Health check-in — day 42, dose 3
    Feeling: Poor
    Adult check-in
  37. 2022-04-17
    Survey response — 3 months, dose 3
    MedDRA: Insomnia, Poor quality sleep, Sleep deficit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Insomnia: - trouble getting enough sleep - trouble sleeping solidly all night
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-07-19
    Survey response — 6 months, dose 3
    MedDRA: Epicondylitis, Physiotherapy, Tendonitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Tendinitis in the elbow. Dr called it tennis elbow. · Healthcare visit (other): PT: help with exercises & a device to wear to keep drom further injury
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-07-19
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  40. 2022-07-20

Vaccinations

DoseDateManufacturerCo-administered
12021-06-21Pfizer-BioNTech No
22021-07-12Pfizer-BioNTech No
32022-01-16Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-22

Systemic reaction (other): Injection site pain. Insomnia.

2021-06-26

Systemic reaction (other): insomnia

Release 9 — days 1–6 daily, dose 2

2021-07-13

Systemic reaction (other): Fatigue

Release 9 — day 7, dose 2

2021-07-19

Systemic reaction (other): I've battled fatigue for the last 3.5 years ... so it's not neccessarily from the vaccine.

Release 9 — day 28, dose 2

2021-08-09

Symptoms: Not Covid related ... passed a kidney stone a week or so ago plus maybe minor UTI ... or another stone lol

Release 9 — day 35, dose 2

2021-08-16

Symptoms: Urinary tract infection (minor irritation, discomfort for 2 or 3days last week ... treated with Azzo & Flomax) ... possibly related to recent passing of kidney stone the previous week.

Release 9 — day 42, dose 2

2021-08-23

Symptoms: Tired, sore legs, & sore back. BUT, I just returned to work teaching ... & these are typical of the 1st week or two of the school year for teachers. Thought I'd report it, just in case.

Release 10 — 3 months, dose 2

2021-10-12

Symptoms: fatigue, sleeplessness, ear ringing & vestibular migraines

Release 10 — days 1–6 daily, dose 3

2022-01-20

Systemic reaction (other): 1) Top of right foot is sore fir last three days ... no idea why 2) dry, sore throat last night ... woke up coughing

2022-01-21

Systemic reaction (other): Insomnia: didnt get to sleep until 4am ... top of my right foot is sore (no clue what caused it)

Release 11 — days 1–6 daily, dose 3

2022-01-22

Systemic reaction (other): sore foot

Release 11 — day 7, dose 3

2022-01-25

Systemic reaction (other): Insomnia ... sore foot

Release 11 — day 21, dose 3

2022-02-06

Symptoms: #NAME?

Release 11 — day 35, dose 3

2022-02-20

Symptoms: Lower abdomen pain ... stings a little when i pee ... slight pink color to my urine

Release 11 — 3 months, dose 3

2022-04-17

Symptoms: Insomnia: - trouble getting enough sleep - trouble sleeping solidly all night

Release 12 — 6 months, dose 3

2022-07-19

Symptoms: Tendinitis in the elbow. Dr called it tennis elbow.
Healthcare visit (other): PT: help with exercises & a device to wear to keep drom further injury

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

FieldPreferred term2021-092023-042024-11
HCVOPhysiotherapy · · ✓
SDAbdominal pain lower · · ✓
SDBack pain ✓ · ✓
SDChromaturia · · ✓
SDDysuria · · ✓
SDEpicondylitis · · ✓
SDFatigue ✓ · ✓
SDInsomnia · · ✓
SDMigraine · · ✓
SDNephrolithiasis ✓ · ✓
SDPain · · ✓
SDPain in extremity ✓ · ✓
SDPoor quality sleep · · ✓
SDSkin irritation ✓ · ✓
SDSleep deficit · · ✓
SDTendonitis · · ✓
SDTinnitus · · ✓
SDUrinary tract discomfort ✓ · ✓
SDUrinary tract infection ✓ · ✓
SDVestibular migraine · · ✓
SROCough · · ✓
SRODry throat · · ✓
SROFatigue ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROOropharyngeal pain · · ✓
SROPain in extremity · · ✓
SROPre-existing disease · · ✓

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