4D8-15993-53373

3 vaccinations 10 coded responses 16 check-ins 10 free-text entries 3 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 930 / CA
Registered: 2021-05-04

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

2021-05-04
Registered in v-safe
2021-05-04
Dose 1 — Pfizer-BioNTech
2021-05-04
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Yeah I was just tired mostly just tired and drained out for the day.,,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Nope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-18
Survey response — day 14, dose 1
MedDRA: Muscle spasms, Myalgia — Feeling: Good · Be unable to work, 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: FOR THREE DAYS MY LEG MUSCLEs were all hurting and cramped up like if I ran a marathon! And and had cramping in them and I had no reason for them too ..? I thought I should MABE let you know SO IF OTHERS HAVE HAD SIMILAR PROBLEMS YOU WOULD KNOW: IT :

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Dose 2 — Pfizer-BioNTech
2021-06-01
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Somnolence — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Systemic reaction (other): Just hella tiredness.,!! A lot of it on and off .. · Healthcare visit (other): I JUST COULD NOT DO ANYTHING BUT MABE GET SOMETHING TO DRINK OR EAT MAYBE BUT SLEEP AND FALE A SLEEP ON THE PHONE SEVERAL TIMES ., JUST SO TIRED I WAS NOT ABLE TOO FILL OUT MY VSAFE.cdc.gov .. INFORMATION SO ?!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Survey response — day 7, dose 2
MedDRA: Injection site reaction — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: MY LEGS ., I KNOW ITS NOT MY INJECTION SITE BUT I AM JUST TRYING TO GET YOU INFORMATION ., TO HOWEVER I AM FEELING TO GET YOU CORRECT INFO ., ?! Ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-04
Survey response — day 35, dose 2
MedDRA: Joint swelling, Pain in extremity, Peripheral swelling, Unevaluable event — Feeling: Poor · 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: Symptoms: Pain in my leg And swelling of legs and mostly my left leg left Wrist up into my forearm ? I HAVE NO IDEA ,,? GOING DR . Tomorrow 7-4-21. · Healthcare visit (other): Going later today ,. Emergency room .when I can get a ride ., Today ,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-04
Report sent to call center — day 35, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2021-08-25
Survey response — 3 months, dose 2
MedDRA: Bronchitis, Nasopharyngitis, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: yo gotten ACOLD I GUESSING AND NOW BRONCHITIS ,?!?! WHITCH YOU KNOW DROPS MY AMUNSITOM ,?! ANY WAY I AM JUST TRY TO GOTO BED ,? And cant see cai do this TOMARROW plasm mess thanks

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-04-15
Dose 3 — Pfizer-BioNTech
2022-05-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-05-28
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-07-16
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-04	Pfizer-BioNTech
2	2021-05-26	Pfizer-BioNTech
3	2022-04-15	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-04

Systemic reaction (other): None

Release 8 — days 1–6 daily, dose 1

2021-05-06

Systemic reaction (other): Yeah I was just tired mostly just tired and drained out for the day.,,

2021-05-07

Systemic reaction (other): Nope

2021-05-08

Systemic reaction (other): None

2021-05-09

Systemic reaction (other): None

Release 8 — day 14, dose 1

2021-05-18

Symptoms: FOR THREE DAYS MY LEG MUSCLEs were all hurting and cramped up like if I ran a marathon! And and had cramping in them and I had no reason for them too ..? I thought I should MABE let you know SO IF OTHERS HAVE HAD SIMILAR PROBLEMS YOU WOULD KNOW: IT : cut off by CDC

Release 8 — days 1–6 daily, dose 2

2021-06-01

Systemic reaction (other): Just hella tiredness.,!! A lot of it on and off ..

Healthcare visit (other): I JUST COULD NOT DO ANYTHING BUT MABE GET SOMETHING TO DRINK OR EAT MAYBE BUT SLEEP AND FALE A SLEEP ON THE PHONE SEVERAL TIMES ., JUST SO TIRED I WAS NOT ABLE TOO FILL OUT MY VSAFE.cdc.gov .. INFORMATION SO ?!

Release 8 — day 7, dose 2

2021-06-02

Systemic reaction (other): MY LEGS ., I KNOW ITS NOT MY INJECTION SITE BUT I AM JUST TRYING TO GET YOU INFORMATION ., TO HOWEVER I AM FEELING TO GET YOU CORRECT INFO ., ?! Ok

Release 9 — day 35, dose 2

2021-07-04

Symptoms: Pain in my leg And swelling of legs and mostly my left leg left Wrist up into my forearm ? I HAVE NO IDEA ,,? GOING DR . Tomorrow 7-4-21.

Healthcare visit (other): Going later today ,. Emergency room .when I can get a ride ., Today ,

Release 9 — 3 months, dose 2

2021-08-25

Symptoms: yo gotten ACOLD I GUESSING AND NOW BRONCHITIS ,?!?! WHITCH YOU KNOW DROPS MY AMUNSITOM ,?! ANY WAY I AM JUST TRY TO GOTO BED ,? And cant see cai do this TOMARROW plasm mess thanks

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	Fatigue	✓	✓	✓
HCVO	Somnolence	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Bronchitis	✓	·	✓
SD	Joint swelling	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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