3RM-12483-10472

2 vaccinations 12 coded responses 23 check-ins 12 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 276 / NC
Registered: 2021-01-23

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Pfizer-BioNTech
2021-01-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus headache — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Free text: Headache probably due to sinuses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Did not sleep well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-31
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-13
Survey response — day 21, dose 1
MedDRA: Arthralgia, Diarrhoea, Flatulence, Neck pain — Feeling: Fair

Free text: Loose bowl movements with gas and neck and right shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-02-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dermatitis acneiform — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Pimple like rashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Upper back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain high in the back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Back pain middle Back

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: Back pain — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Back pain high in the back area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-06
Survey response — day 14, dose 2
MedDRA: Back pain, Loss of personal independence in daily activities — Feeling: Fair

Free text: Worsening upper back pain. It is affecting my activities. Going to the doctor this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Survey response — day 28, dose 2
MedDRA: Back pain, COVID-19, Insomnia, Restlessness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Things seem heavier than I am used to. Been having problems sleeping. My charg 5 Fitbit shows that I have very restless sleep more than before the Covid-19 vacation. And continue having high back pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 35, dose 2
Feeling: Fair

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

Adult check-in
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Fatigue, Flatulence, Memory impairment, Office visit, Secretion discharge, Tooth infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe gas, mucus and loose bowl movements. Fatigue and continued memory problems · Healthcare visit (other): Dentist due to infected tooth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Dysgraphia, Mobility decreased, Tremor — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My hands are shaking making it difficult at times to operate my smartphone or write smoothly

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Call 1 — Could Not Reach Participant
2021-08-30
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-20	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Headache probably due to sinuses

2021-01-26

Systemic reaction (other): Did not sleep well

Release 4 — day 21, dose 1

2021-02-13

Symptoms: Loose bowl movements with gas and neck and right shoulder pain

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Pimple like rashes

2021-02-23

Systemic reaction (other): Upper back pain

2021-02-24

Systemic reaction (other): Pain high in the back

2021-02-25

Systemic reaction (other): Back pain middle Back

2021-02-26

Systemic reaction (other): Back pain high in the back area

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Worsening upper back pain. It is affecting my activities. Going to the doctor this week.

Release 6 — day 28, dose 2

2021-03-22

Symptoms: Things seem heavier than I am used to. Been having problems sleeping. My charg 5 Fitbit shows that I have very restless sleep more than before the Covid-19 vacation. And continue having high back pains.

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Severe gas, mucus and loose bowl movements. Fatigue and continued memory problems

Healthcare visit (other): Dentist due to infected tooth

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: My hands are shaking making it difficult at times to operate my smartphone or write smoothly

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
HCVO	Office visit	✓	✓	✓
HCVO	Tooth infection	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dysgraphia	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Mobility decreased	✓	·	✓
SD	Neck pain	✓	✓	✓
SD	Restlessness	✓	✓	✓
SD	Secretion discharge	✓	✓	✓
SD	Tremor	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Dermatitis acneiform	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Sinus headache	✓	✓	✓

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