4E7-27005-22287

5 vaccinations 6 coded responses 19 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 967 / HI
Registered: 2021-04-28

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

2021-03-12
Dose 1 — Pfizer-BioNTech
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-28
Registered in v-safe
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-04-07
Survey response — 12 months, dose 2
MedDRA: Malaise, Somnolence — Feeling: Good · Be unable to do your normal daily activities

Free text: A few days ago had terrible malaise. Slept most of the day. We

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Survey response — 6 months, dose 3
MedDRA: Fatigue, Headache, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue, slight headache, nausea,

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Dose 4 — Pfizer-BioNTech
2022-05-14
Survey response — day 21, dose 4
MedDRA: Malaise, Medical counselling, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: A variety of unexplained nausea a malaise. While getting my 4th vaccine at Kaiser (b)(6) I mentioned my symptoms and asked the nurses (plural) about get a test. To my surprise one nurse in particular said "well why bother?" This seemed irresponsible

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Survey response — 3 months, dose 4
MedDRA: Chills, Pain, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus headache, body aches, chills

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-30
Survey response — day 35, dose 5
MedDRA: Abdominal distension, Fatigue, Gastrointestinal disorder — Feeling: Fair · 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: Gastrointestinal issues, bloating, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Report sent to call center — day 35, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-05
Survey response — day 42, dose 5
MedDRA: Bacterial infection, Fatigue — Feeling: Fair · 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: Fatigue and some sort of bacterial infection.

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — day 42, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-24
Health check-in — 3 months, dose 5
Feeling: Fair · Be unable to do your normal daily activities

Free text: Kidney stones and related gastrointestinal issues

Adult check-in · check-in free text available
2023-03-25
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	Flu
4	2022-04-22	Pfizer-BioNTech	No
5	2022-09-23	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 11 — 12 months, dose 2

2022-04-07

Symptoms: A few days ago had terrible malaise. Slept most of the day. We

Release 11 — 6 months, dose 3

2022-04-12

Symptoms: Fatigue, slight headache, nausea,

Release 11 — day 21, dose 4

2022-05-14

Symptoms: A variety of unexplained nausea a malaise. While getting my 4th vaccine at Kaiser (b)(6) I mentioned my symptoms and asked the nurses (plural) about get a test. To my surprise one nurse in particular said "well why bother?" This seemed irresponsible cut off by CDC

redacted (b)(6)

Release 12 — 3 months, dose 4

2022-07-22

Symptoms: Sinus headache, body aches, chills

Release 12 — day 35, dose 5

2022-10-30

Symptoms: Gastrointestinal issues, bloating, fatigue

Release 12 — day 42, dose 5

2022-11-05

Symptoms: Fatigue and some sort of bacterial infection.

Release 12 — 3 months, dose 5

2022-12-24

Symptoms: Kidney stones and related gastrointestinal issues

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 distension	·	·	✓
SD	Bacterial infection	·	·	✓
SD	Chills	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Medical counselling	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Sinus headache	·	·	✓
SD	Somnolence	·	·	✓

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