3MF-17884-03840

2 vaccinations 10 coded responses 22 check-ins 10 free-text entries 0 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 280 / NC
Registered: 2021-02-26

Relationship: Self
Race: White
Ethnicity: Not 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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-26
Registered in v-safe
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

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

Adult check-in
2021-03-03
Survey response — day 7, dose 1
MedDRA: Rash, Skin erosion — Feeling: Good

Free text: I've had a weird rash inside my left nostril since last Thursday. It's raw. Ive never had one in thete before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 14, dose 1
MedDRA: Burning sensation, Headache, Nasal discomfort — Feeling: Good

Free text: I'm having daily annoying headaches. I'm sure they can be allergy/sinus related, but even with those issues I don't usually have daily headaches. I still have irriration in my left nostril too. It's like a burn.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-17
Survey response — day 0, dose 2
MedDRA: Acne — Feeling: Good · Headache, Muscle or body aches

Free text: Abnormal issue with daily whiteheads in the nostril creases of my nose. This has occurred since the last vaccine three weeks ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling of body temperature change — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Alternating betwerm short and t-shirt and fill winter sweats.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Night sweats — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Diarrhea · Be unable to work

Free text: Lower back pian since the vaccination and I had unbelievable night sweats. My bed linens were soaked.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Diarrhea

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: Headache may be more due to allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Good

Free text: Frequent headaches... possibly allergy related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-19
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Fatigue, Headache, Poor quality sleep, Sinus congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Nagging headache that comes and goes, periodic shortness of breath, minor sinus congestion, tiredness, poor sleep.

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Survey response — 12 months, dose 2
MedDRA: Feeling hot, Pain, Pre-existing disease, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities

Free text: It could be recurrong sinus issues due to my history. Forbthe last week, I've gotten body aches soon after I eat lunch. I've felt feverish but my temperature is always right at 98.0, my normal temp. I've had 5 Covis swab tests since. January 1st- n

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Loss of appetite

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): I've had a weird rash inside my left nostril since last Thursday. It's raw. Ive never had one in thete before.

Release 5 — day 14, dose 1

2021-03-10

Symptoms: I'm having daily annoying headaches. I'm sure they can be allergy/sinus related, but even with those issues I don't usually have daily headaches. I still have irriration in my left nostril too. It's like a burn.

Release 5 — day 0, dose 2

2021-03-17

Systemic reaction (other): Abnormal issue with daily whiteheads in the nostril creases of my nose. This has occurred since the last vaccine three weeks ago.

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Alternating betwerm short and t-shirt and fill winter sweats.

2021-03-19

Systemic reaction (other): Lower back pian since the vaccination and I had unbelievable night sweats. My bed linens were soaked.

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Headache may be more due to allergies.

Release 8 — day 42, dose 2

2021-04-28

Symptoms: Frequent headaches... possibly allergy related.

Release 9 — 6 months, dose 2

2021-09-19

Symptoms: Nagging headache that comes and goes, periodic shortness of breath, minor sinus congestion, tiredness, poor sleep.

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: It could be recurrong sinus issues due to my history. Forbthe last week, I've gotten body aches soon after I eat lunch. I've felt feverish but my temperature is always right at 98.0, my normal temp. I've had 5 Covis swab tests since. January 1st- n cut off by CDC

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	Burning sensation	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasal discomfort	✓	✓	✓
SD	Pain	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Acne	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin erosion	✓	✓	✓

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