3GM-12526-82648

3 vaccinations 18 coded responses 29 check-ins 18 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 257 / WV
Registered: 2020-12-24

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

2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-24
Registered in v-safe
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Survey response — day 14, dose 1
MedDRA: Head discomfort — Feeling: Fair

Free text: I feel like I have a hat on my head all the time. And a little pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair

Free text: Feel like I have a hat on my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort — Feeling: Fair · Fever · Chills, Joint pains

Free text: Feel like I have a hat on my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort — Feeling: Fair · Fever

Free text: I feel like I have a hat on my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Feel like I have a hat on my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — day 7, dose 2
MedDRA: Feeling cold — Feeling: Fair

Free text: Feel like I have a hat on my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — day 14, dose 2
MedDRA: Feeling abnormal — Feeling: Fair

Free text: Still feel like I have a hat on my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 21, dose 2
MedDRA: Sensory disturbance — Feeling: Fair

Free text: Still feel like I have a hat on my head. It has not gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 28, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Still feel like I have hat on my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 35, dose 2
MedDRA: Sensory disturbance — Feeling: Fair

Free text: Still have the sensation of having a hat on my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 42, dose 2
MedDRA: Head discomfort — Feeling: Fair

Free text: Still feel like I have a hat on my head all the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — 3 months, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Still feel like I have a hat on my head, but you'll don't care about that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-11
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in
2022-03-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-18
Dose 3 — Moderna
2022-04-20
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Itching · Fever · Headache

Free text: Never listen so why tell you

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Headache

Free text: Why tell you no one calls or cares

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Headache, Joint pains

Free text: Don't matter you don't care

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain

Free text: Don't matter you don't want to hear it

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Don't matter you don't want to hear it

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Why ask you don't care

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2022-04-18	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-06

Symptoms: I feel like I have a hat on my head all the time. And a little pressure.

Release 1 — days 1–6 daily, dose 2

2021-01-13

Systemic reaction (other): Feel like I have a hat on my head

2021-01-14

Systemic reaction (other): Feel like I have a hat on my head

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): I feel like I have a hat on my head

2021-01-17

Systemic reaction (other): Feel like I have a hat on my head

Release 2 — day 7, dose 2

2021-01-18

Systemic reaction (other): Feel like I have a hat on my head.

Release 2 — day 14, dose 2

2021-01-25

Symptoms: Still feel like I have a hat on my head

Release 3 — day 21, dose 2

2021-02-01

Symptoms: Still feel like I have a hat on my head. It has not gone away.

Release 3 — day 28, dose 2

2021-02-08

Symptoms: Still feel like I have hat on my head.

Release 4 — day 35, dose 2

2021-02-15

Symptoms: Still have the sensation of having a hat on my head.

Release 4 — day 42, dose 2

2021-02-22

Symptoms: Still feel like I have a hat on my head all the time.

Release 7 — 3 months, dose 2

2021-04-12

Symptoms: Still feel like I have a hat on my head, but you'll don't care about that.

Release 11 — days 1–6 daily, dose 3

2022-04-20

Systemic reaction (other): Never listen so why tell you

2022-04-21

Systemic reaction (other): Why tell you no one calls or cares

2022-04-22

Systemic reaction (other): Don't matter you don't care

2022-04-23

Systemic reaction (other): Don't matter you don't want to hear it

2022-04-24

Systemic reaction (other): Don't matter you don't want to hear it

Release 11 — day 7, dose 3

2022-04-25

Systemic reaction (other): Why ask you don't care

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	Feeling abnormal	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Sensory disturbance	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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