46H-12779-61743

3 vaccinations 12 coded responses 33 check-ins 12 free-text entries 2 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 917 / CA
Registered: 2021-03-20

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

2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-20
Registered in v-safe
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — day 7, dose 1
MedDRA: Oral herpes — Feeling: Fair · Abdominal pain

Free text: Minor cold sore recurrence

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 14, dose 1
MedDRA: Asthenia, Oral herpes, Sinusitis — Feeling: Fair

Free text: Minor cold sore, symptoms of mild sinus infection, feeling generally a little below par, low energy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Fatigue or tiredness

Free text: Mild tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Mild tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness, Fatigue, Tinnitus — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ringing ears, feeling washed out, periodically weak, slightly dizzy; severe fatigue yesterday evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness

Free text: Still some mild tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache

Free text: Ringing ears, generally out of sorts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Chronic fatigue syndrome, Insomnia, Weight decreased — Feeling: Fair · Be unable to work or attend school

Free text: Weight loss; M.E.-like symptoms in the last few days, possibly slight relapse due to overwork, lack of sleep.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Dose 3 — Pfizer-BioNTech
2021-12-08
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 · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-13
Survey response — day 35, dose 3
MedDRA: Diarrhoea, Fatigue, SARS-CoV-2 test negative, Sinusitis, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus infection- (tested negative for Covid); now cleared. Ringing ears Fatigue, diarrhea - probably just travel/jet lag related.

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — day 42, dose 3
MedDRA: Palpitations, Tinnitus — Feeling: Fair

Free text: Ringing ear, minor heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Survey response — 6 months, dose 3
MedDRA: Hospitalisation, Ileus, Small intestinal obstruction, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Surgery/hospitalization for obstructed small bowel and ileus.

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-06-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-07
Survey response — 12 months, dose 3
MedDRA: Abdominal adhesions, Gastrointestinal pain, Rash, Small intestinal obstruction, Small intestine operation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ongoing mild gut pain following previously reported emergency surgery for adhesions/obstructed small intestine. Slowly improving. Persistent minor rash on hands/fingers.

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2021-12-07	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-26

Systemic reaction (other): Minor cold sore recurrence

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Minor cold sore, symptoms of mild sinus infection, feeling generally a little below par, low energy.

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Mild tinnitus

2021-04-13

Systemic reaction (other): Mild tinnitus

2021-04-14

Systemic reaction (other): Ringing ears, feeling washed out, periodically weak, slightly dizzy; severe fatigue yesterday evening.

2021-04-15

Systemic reaction (other): Still some mild tinnitus

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Ringing ears, generally out of sorts.

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Weight loss; M.E.-like symptoms in the last few days, possibly slight relapse due to overwork, lack of sleep.

Release 10 — day 35, dose 3

2022-01-13

Symptoms: Sinus infection- (tested negative for Covid); now cleared. Ringing ears Fatigue, diarrhea - probably just travel/jet lag related.

Release 10 — day 42, dose 3

2022-01-18

Symptoms: Ringing ear, minor heart palpitations

Release 11 — 6 months, dose 3

2022-06-09

Symptoms: Surgery/hospitalization for obstructed small bowel and ileus.

Release 12 — 12 months, dose 3

2022-12-07

Symptoms: Ongoing mild gut pain following previously reported emergency surgery for adhesions/obstructed small intestine. Slowly improving. Persistent minor rash on hands/fingers.

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	Abdominal adhesions	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Chronic fatigue syndrome	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Ileus	·	·	✓
SD	Insomnia	·	·	✓
SD	Oral herpes	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Rash	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Small intestinal obstruction	·	·	✓
SD	Small intestine operation	·	·	✓
SD	Surgery	·	·	✓
SD	Tinnitus	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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