3K5-12345-47904

3 vaccinations 7 coded responses 20 check-ins 7 free-text entries 0 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 223 / VA
Registered: 2021-04-22

Relationship: Self
Race: Black or African American
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-22
Registered in v-safe
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Tremor — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shivering off and on without chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-08
Dose 3 — Pfizer-BioNTech
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I will not get any more covid-19 shots. Side-effects are too severe for me.

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I will not get any more of the current covid-19 vaccines. Side-effects are too severe for me. I'll wait for something else with fewer side-effects.

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Redness · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I will not get any more of the current covid-19 vaccines. Side-effects are too severe for me. I'll wait for something else with fewer side-effects.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain, Itching · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sweating off and on since after the booster shot. I have to wake up and change sheets twice.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — day 7, dose 3
MedDRA: Night sweats — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Night sweats. I will not get any more of the current covid-19 vaccines. Side-effects are too severe for me. I'll wait for something else with fewer side-effects.

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Survey response — day 21, dose 3
MedDRA: Asthenia, Tendon pain — Feeling: Fair

Free text: Unexpected pain in my tendons behind my knees and calf muscles. I feel it more in the morning. Also low energy.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-12-08	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Shivering off and on without chills

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): I will not get any more covid-19 shots. Side-effects are too severe for me.

2021-12-11

Systemic reaction (other): I will not get any more of the current covid-19 vaccines. Side-effects are too severe for me. I'll wait for something else with fewer side-effects.

2021-12-12

Systemic reaction (other): I will not get any more of the current covid-19 vaccines. Side-effects are too severe for me. I'll wait for something else with fewer side-effects.

2021-12-13

Systemic reaction (other): Sweating off and on since after the booster shot. I have to wake up and change sheets twice.

Release 10 — day 7, dose 3

2021-12-15

Systemic reaction (other): Night sweats. I will not get any more of the current covid-19 vaccines. Side-effects are too severe for me. I'll wait for something else with fewer side-effects.

Release 10 — day 21, dose 3

2021-12-29

Symptoms: Unexpected pain in my tendons behind my knees and calf muscles. I feel it more in the morning. Also low energy.

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	Asthenia	·	·	✓
SD	Tendon pain	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Night sweats	·	·	✓
SRO	Tremor	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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