4N3-15987-95642

3 vaccinations 13 coded responses 23 check-ins 13 free-text entries 2 call cases

Sex: Male
Age at first dose: 21-25
ZIP prefix: 926 / CA
Registered: 2021-05-07

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-07
Registered in v-safe
2021-05-07
Dose 1 — Pfizer-BioNTech
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Sinus congestion — Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness

Free text: Sinus congestion, trouble sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Hypoaesthesia — Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: Feeling weak, numbness in left hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-21
Survey response — day 14, dose 1
MedDRA: Axillary pain, Dizziness, Headache, Medical counselling, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache, nausea, dizziness, sore underarm (went away though) · Healthcare visit (other): Phone call for medication

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Dose 2 — Pfizer-BioNTech
2021-06-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Lightheadedness, brief ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Insomnia, Sinus congestion — Feeling: Good · Headache, Fatigue or tiredness, Nausea

Free text: Slight chest pain, trouble sleeping, sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Nasal congestion — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Nasal congestion, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Survey response — day 14, dose 2
MedDRA: Fatigue, Rash — Feeling: Good

Free text: Rash, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-11
Survey response — day 35, dose 2
MedDRA: Brain fog, Rhinitis allergic — Feeling: Fair

Free text: Brain fog, nasal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-15
Dose 3 — Pfizer-BioNTech
2022-01-16
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspepsia, Dyspnoea, Palpitations — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart palpitations, shortness of breath, heartburn

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety, Tremor — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Tremors, anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-22
Survey response — day 7, dose 3
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Site: Pain · Nausea, Abdominal pain

Free text: Mild chest pain, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — day 14, dose 3
MedDRA: Chest pain, Fatigue, Heart rate increased, Syncope, Vision blurred — 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, Outpatient clinic or urgent care clinic visit

Free text: Fainting, extreme fatigue, blurred vision, chest pain, fast heartbeat

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — day 14, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-21
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-03-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-07-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-17
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-07	Pfizer-BioNTech
2	2021-06-04	Pfizer-BioNTech
3	2022-01-15	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-10

Systemic reaction (other): Sinus congestion, trouble sleeping

2021-05-12

Systemic reaction (other): Feeling weak, numbness in left hand

Release 8 — day 14, dose 1

2021-05-21

Symptoms: Headache, nausea, dizziness, sore underarm (went away though)

Healthcare visit (other): Phone call for medication

Release 8 — days 1–6 daily, dose 2

2021-06-06

Systemic reaction (other): Lightheadedness, brief ringing in ears

2021-06-07

Systemic reaction (other): Slight chest pain, trouble sleeping, sinus congestion

Release 9 — days 1–6 daily, dose 2

2021-06-09

Systemic reaction (other): Nasal congestion, shortness of breath

Release 9 — day 14, dose 2

2021-06-20

Symptoms: Rash, fatigue

Release 9 — day 35, dose 2

2021-07-11

Symptoms: Brain fog, nasal allergies

Release 10 — days 1–6 daily, dose 3

2022-01-16

Systemic reaction (other): Nasal congestion

2022-01-17

Systemic reaction (other): Heart palpitations, shortness of breath, heartburn

2022-01-20

Systemic reaction (other): Tremors, anxiety

Release 11 — day 7, dose 3

2022-01-22

Systemic reaction (other): Mild chest pain, shortness of breath

Release 11 — day 14, dose 3

2022-01-29

Symptoms: Fainting, extreme fatigue, blurred vision, chest pain, fast heartbeat

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	Medical counselling	✓	✓	✓
SD	Axillary pain	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Nausea	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rhinitis allergic	✓	✓	✓
SD	Syncope	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Tremor	·	·	✓

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