3JR-39077-12642

4 vaccinations 17 coded responses 41 check-ins 15 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 262 / WV
Registered: 2021-02-03

Relationship: Self
Race: Multiracial
Ethnicity: 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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-03
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good

Free text: Metallic fish taste from 12 minutes after injection to about 3 P.M.

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

Free text: Had my right ears tube replaced. Popping and headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Ear tube insertion — Feeling: Good · Headache, Fatigue or tiredness

Free text: Right ear is hurting where Dr. put the tube yesterday. This is expected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Ear tube insertion, Fall, Middle ear disorder — Feeling: Good · Fatigue or tiredness

Free text: Fell on ice twice. Could be middle ear is messed up from tube insertion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Headache — Feeling: Good · Headache

Free text: Ear does not hurt as much today, but still have the mild headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Feeling cold, Headache — Feeling: Good · Headache

Free text: There is water in ear, but dissipating plus extreme cold last evening. This could cause the headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Headache

Free text: Phone quit yesterday,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hunger, Limb discomfort — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Limbs felt like dead weight. Desire for a ton of pizza, but know the outcome . Very dizzy. These symptoms seem to be dissipating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Pain, Paranasal sinus hypersecretion, Tremor — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinuses are draining like crazy. Shakey when I rise. Some dizziness. Body aches are very intense.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tired and fatigued is severe, but seems am recovering.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-12
Dose 3 — Pfizer-BioNTech
2022-02-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-07
Dose 4 — Pfizer-BioNTech
2022-10-07
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-11
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Sneezing, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — days 1–6 daily, dose 4
MedDRA: Increased upper airway secretion, Rhinorrhoea — Feeling: Good · Headache

Free text: Runny nose, thick phlegm in throat, spit a lot.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Productive cough, Sneezing — Feeling: Good · Headache

Free text: Coughing, sneezing, a lot of phlegm, sit a lot too

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Survey response — day 7, dose 4
MedDRA: Productive cough, Rhinorrhoea, Sputum increased — Feeling: Good · Site: Pain · Headache

Free text: Phlegm subsiding, still spitting, and runny nose not as intense

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-28
Survey response — day 21, dose 4
MedDRA: Back pain — Feeling: Good

Free text: Very sore back from mid to butt.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-06
Survey response — 3 months, dose 4
MedDRA: Malaise, Viral infection — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-07
Survey response — 6 months, dose 4
MedDRA: Exposure to SARS-CoV-2, Pain in extremity — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech
3	2022-02-12	Pfizer-BioNTech	No
4	2022-10-07	Pfizer-BioNTech	No

Free text

Release 3 — day 0, dose 1

2021-02-03

Systemic reaction (other): Metallic fish taste from 12 minutes after injection to about 3 P.M.

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Had my right ears tube replaced. Popping and headache.

2021-02-05

Systemic reaction (other): Right ear is hurting where Dr. put the tube yesterday. This is expected.

2021-02-06

Systemic reaction (other): Fell on ice twice. Could be middle ear is messed up from tube insertion.

2021-02-07

Systemic reaction (other): Ear does not hurt as much today, but still have the mild headache.

2021-02-08

Systemic reaction (other): There is water in ear, but dissipating plus extreme cold last evening. This could cause the headache.

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Phone quit yesterday,

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Limbs felt like dead weight. Desire for a ton of pizza, but know the outcome . Very dizzy. These symptoms seem to be dissipating.

2021-02-26

Systemic reaction (other): Sinuses are draining like crazy. Shakey when I rise. Some dizziness. Body aches are very intense.

2021-02-27

Systemic reaction (other): Tired and fatigued is severe, but seems am recovering.

Release 12 — days 1–6 daily, dose 4

2022-10-11

Systemic reaction (other): Sneezing, runny nose

2022-10-12

Systemic reaction (other): Runny nose, thick phlegm in throat, spit a lot.

2022-10-13

Systemic reaction (other): Coughing, sneezing, a lot of phlegm, sit a lot too

Release 12 — day 7, dose 4

2022-10-16

Systemic reaction (other): Phlegm subsiding, still spitting, and runny nose not as intense

Release 12 — day 21, dose 4

2022-10-28

Symptoms: Very sore back from mid to butt.

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	Back pain	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Malaise	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Viral infection	·	·	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Ear tube insertion	✓	✓	✓
SRO	Fall	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hunger	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Increased upper airway secretion	·	·	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Middle ear disorder	○	✓	○
SRO	Pain	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Productive cough	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Sputum increased	·	·	✓
SRO	Tremor	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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