4LT-16963-40679

5 vaccinations 9 coded responses 48 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 631 / MO
Registered: 2021-03-12

Relationship: Self
Race: Black or African American
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
Registered in v-safe
2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-26
Survey response — day 14, dose 1
MedDRA: Dyspepsia, Fatigue, Nasal discomfort — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sometimes I have severe indigestion, but no vomiting or diarrhea. Severe fatigue at times. I have noticed an unusual in my nose that comes and goes. It is hard to describe. Medicinal seems to be the best term to describe it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Head ache right side

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Survey response — day 28, dose 2
MedDRA: Oropharyngeal pain, Pain in extremity, Spinal cord compression — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very mild sore throat. Severe left leg pain previously diagnosed as spinal nerve compression.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Daily headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call 2 — Left Voicemail
2021-08-28
Dose 3 — Pfizer-BioNTech
2021-08-28
Health check-in — day 0, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · None

Adult check-in
2021-08-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-04
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-11
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-09-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-11-27
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-01-15
Call 1 — Left Voicemail
2022-03-01
Dose 4 — Pfizer-BioNTech
2022-07-01
Dose 5 — Pfizer-BioNTech
2022-07-01
Health check-in — day 0, dose 5
Feeling: Fair · None

Adult check-in
2022-07-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-03
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2022-07-04
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-05
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-06
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-07-08
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-15
Survey response — day 14, dose 5
MedDRA: Asthenia, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue and weakness.

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Survey response — day 21, dose 5
MedDRA: Asthenia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue, muscle aches and weakness have persisted for 3 weeks now since 2 days after receiving shot. This happened after the second shot, but not the first, third and fourth shots.

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Survey response — day 28, dose 5
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening fatigue and body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Survey response — day 35, dose 5
MedDRA: Asthenia, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Previously reported fatigue and weakness worsening.

MedDRA releases: 2024-11 · check-in free text available
2022-08-14
Survey response — day 42, dose 5
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Last booster was July 1, 2022. Plagued with continued worsening fatigue since the day after the see shot.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech
3	2021-08-28	Pfizer-BioNTech	No
4	2022-03-01	Pfizer-BioNTech	No
5	2022-07-01	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-26

Symptoms: Sometimes I have severe indigestion, but no vomiting or diarrhea. Severe fatigue at times. I have noticed an unusual in my nose that comes and goes. It is hard to describe. Medicinal seems to be the best term to describe it.

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Head ache right side

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Very mild sore throat. Severe left leg pain previously diagnosed as spinal nerve compression.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Daily headaches.

Release 12 — day 14, dose 5

2022-07-15

Symptoms: Extreme fatigue and weakness.

Release 12 — day 21, dose 5

2022-07-23

Symptoms: Extreme fatigue, muscle aches and weakness have persisted for 3 weeks now since 2 days after receiving shot. This happened after the second shot, but not the first, third and fourth shots.

Release 12 — day 28, dose 5

2022-07-29

Symptoms: Worsening fatigue and body aches.

Release 12 — day 35, dose 5

2022-08-05

Symptoms: Previously reported fatigue and weakness worsening.

Release 12 — day 42, dose 5

2022-08-14

Symptoms: Last booster was July 1, 2022. Plagued with continued worsening fatigue since the day after the see shot.

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	Asthenia	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasal discomfort	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Spinal cord compression	✓	✓	✓
SRO	Headache	✓	✓	✓

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