4AA-16139-61429

4 vaccinations 15 coded responses 45 check-ins 14 free-text entries 7 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 981 / WA
Registered: 2021-04-05

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

2021-04-05
Registered in v-safe
2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 28, dose 2
MedDRA: Hypertension — Feeling: Fair

Free text: High blood pressure, but may be related to another medication. Talking to doc soon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Hypertension, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: On high blood pressure meds now. Also new vision issues. Need new glasses and contacts

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Call 1 — Could Not Reach Participant
2021-08-06
Call 2 — Could Not Reach Participant
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: High blood pressure. Now on medication to manage.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-26
Call 1 — Could Not Reach Participant
2021-10-29
Call 2 — Could Not Reach Participant
2021-11-02
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-02
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Sleeplessness

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleeplessness

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Survey response — day 21, dose 3
MedDRA: Dizziness, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizziness and blurred vision

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-29
Call 1 — Left Voicemail
2021-11-30
Survey response — day 28, dose 3
MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Survey response — 3 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I got COVID-19

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Report sent to call center — 3 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-03
Survey response — 6 months, dose 3
MedDRA: Cough, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Developed a sore throat and cough but tested negative for COVID-19 using a PCR test

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-04
Call 2 — Left Voicemail
2022-09-09
Dose 4 — Pfizer-BioNTech
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-02
Survey response — day 21, dose 4
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair

Free text: Cough, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — day 28, dose 4
MedDRA: Blood pressure increased, Smoke sensitivity — Feeling: Fair

Free text: Higher blood pressure, but likely due to wildfire smoke

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-09
Survey response — 3 months, dose 4
MedDRA: Cough — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had a non-covid cough for a few weeks and it is gone

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-12
Call 3 — Left Voicemail
2022-12-12
Call 2 — Left Voicemail
2023-03-10
Survey response — 6 months, dose 4
MedDRA: Lower respiratory tract infection, Office visit, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-10
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-13
Call 1 — Left Voicemail
2023-03-13
Call 1 — Left Voicemail
2023-03-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2021-11-02	Pfizer-BioNTech	Flu
4	2022-09-09	Pfizer-BioNTech	No

Call center

7 call center cases

4 successful · 3 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Brain fog

2021-04-29

Systemic reaction (other): Brain fog

Release 8 — day 28, dose 2

2021-05-24

Symptoms: High blood pressure, but may be related to another medication. Talking to doc soon.

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: On high blood pressure meds now. Also new vision issues. Need new glasses and contacts

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: High blood pressure. Now on medication to manage.

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Sleeplessness

2021-11-05

Systemic reaction (other): Sleeplessness

Release 10 — day 21, dose 3

2021-11-23

Symptoms: Dizziness and blurred vision

Release 10 — day 28, dose 3

2021-11-30

Symptoms: Cough

Release 11 — 3 months, dose 3

2022-02-01

Symptoms: I got COVID-19

Release 11 — 6 months, dose 3

2022-05-03

Symptoms: Developed a sore throat and cough but tested negative for COVID-19 using a PCR test

Release 12 — day 21, dose 4

2022-10-02

Symptoms: Cough, congestion

Release 12 — day 28, dose 4

2022-10-07

Symptoms: Higher blood pressure, but likely due to wildfire smoke

Release 12 — 3 months, dose 4

2022-12-09

Symptoms: I had a non-covid cough for a few weeks and it is gone

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	SARS-CoV-2 test	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Smoke sensitivity	·	·	✓
SD	Vision blurred	·	·	✓
SD	Visual impairment	✓	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Insomnia	·	·	✓

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