3LR-28434-82259

4 vaccinations 6 coded responses 39 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 764 / TX
Registered: 2021-11-06

Relationship: Self
Race: White
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

2021-03-15
Dose 1 — Janssen/Johnson & Johnson
2021-11-04
Dose 2 — Pfizer-BioNTech
2021-11-06
Registered in v-safe
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-05
Survey response — 3 months, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Dose 3 — Pfizer-BioNTech
2022-05-12
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-17
Survey response — day 35, dose 3
MedDRA: Anxiety, Vaccine positive rechallenge — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have felt increased anxiety and excessive worrying since my booster shot. This seems to occur after every Covid vaccine shot. I typically don't have these symptoms and was never worried about taking the vaccine before or after.

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Survey response — day 42, dose 3
MedDRA: Anxiety — Feeling: Poor · Be unable to do your normal daily activities

Free text: Anxiety and excessive worrying.

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Survey response — 3 months, dose 3
MedDRA: Anxiety — Feeling: Good · Be unable to do your normal daily activities

Free text: I'm better now, but I experienced abnormal anxiety, thoughts of impending doom, excessive worrying after receiving my booster.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-15
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-15
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-11-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-08
Survey response — day 21, dose 4
MedDRA: Anxiety — Feeling: Good

Free text: Anxiousness, impending doom, excessive worrying.

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-20
Survey response — day 35, dose 4
MedDRA: Anxiety — Feeling: Good

Free text: Excessive worrying and high anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Janssen/Johnson & Johnson	No
2	2021-11-04	Pfizer-BioNTech	No
3	2022-05-12	Pfizer-BioNTech	No
4	2022-11-15	Pfizer-BioNTech	Flu

Free text

Release 11 — 3 months, dose 2

2022-02-05

Symptoms: Ringing in ears

Release 12 — day 35, dose 3

2022-06-17

Symptoms: I have felt increased anxiety and excessive worrying since my booster shot. This seems to occur after every Covid vaccine shot. I typically don't have these symptoms and was never worried about taking the vaccine before or after.

Release 12 — day 42, dose 3

2022-06-23

Symptoms: Anxiety and excessive worrying.

Release 12 — 3 months, dose 3

2022-08-13

Symptoms: I'm better now, but I experienced abnormal anxiety, thoughts of impending doom, excessive worrying after receiving my booster.

Release 12 — day 21, dose 4

2022-12-08

Symptoms: Anxiousness, impending doom, excessive worrying.

Release 12 — day 35, dose 4

2022-12-20

Symptoms: Excessive worrying and high anxiety

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	Anxiety	·	·	✓
SD	Tinnitus	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓

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