4QS-17193-69283

5 vaccinations 12 coded responses 36 check-ins 12 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 922 / CA
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Pfizer-BioNTech
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Myalgia, Neck pain — Feeling: Good · Headache, Muscle or body aches

Free text: Symptoms seem to come n go quickly. Some re-occur like headaches & muscle/neck, aches, but otherwise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches · Be unable to work

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Good · Headache

Free text: Breathing issues sometimes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Joint pains

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Muscular weakness — Feeling: Good · Be unable to do your normal daily activities

Free text: Arm/shoulder where I got the 2nd shot, feels weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Confusional state, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tired, confused

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Brain fog, Dyspnoea, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Shortness of breath every so often, Brain fog and tiredness

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Dose 3 — Pfizer-BioNTech
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Brain fog, Disturbance in attention, Unevaluable event — Feeling: Fair · 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: Brain Fog, occasionally unable to concentrate/focus · Healthcare visit (other): X-ray

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
Report sent to call center — 12 months, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-29
Call 1 — Left Voicemail
2022-03-30
Dose 4 — Pfizer-BioNTech
2022-04-21
Survey response — day 21, dose 4
MedDRA: Brain fog, Pre-existing disease — Feeling: Fair · 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: Long Covid Brain Fog. Not sure if it's From the virus itself, when I tested positive for it, or the vaccines. I can tell you it's been steadily increasing since I was first diagnosed. I've been proactive in trying to stay ahead. Had my 4th dose

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — day 21, dose 4
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)
2022-04-22
Call 1 — Left Voicemail
2022-04-27
Survey response — day 28, dose 4
MedDRA: Brain fog, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Long Covid Brain Fog still lingering. I am just guessing it's from the virus when I tested positive. I am quadruple vaccinated at this time

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — day 35, dose 4
MedDRA: Brain fog, Disturbance in attention, Memory impairment, Post-acute COVID-19 syndrome — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Continuing Long Covid Brain Fog. I have difficulty concentrating for very long on something and forget to do things. Memory becomes foggy

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Survey response — day 42, dose 4
MedDRA: Brain fog, Cough, Diarrhoea, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Increasing Long Covid-19 Brain Fog, dry cough, runny nose, diarrhea Took a Rapid Covid test at home last night, it came up negative so far

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-21
Dose 5 — Moderna
2022-09-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-21
Survey response — 3 months, dose 5
MedDRA: Cough, Night sweats, Office visit, Pain — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: Night sweats, coughing, body aches · Healthcare visit (other): Dr visit

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-22
Call 2 — Left Voicemail
2022-12-22
Call 2 — Left Voicemail
2022-12-22
Call 1 — Left Voicemail
2023-03-22
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-10-18	Pfizer-BioNTech	No
4	2022-03-30	Pfizer-BioNTech	No
5	2022-09-21	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Symptoms seem to come n go quickly. Some re-occur like headaches & muscle/neck, aches, but otherwise

Release 5 — day 7, dose 1

2021-03-07

Systemic reaction (other): Breathing issues sometimes

Release 5 — day 21, dose 1

2021-03-19

Symptoms: Tiredness

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Arm/shoulder where I got the 2nd shot, feels weak

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Tired, confused

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Shortness of breath every so often, Brain fog and tiredness

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Brain Fog, occasionally unable to concentrate/focus

Healthcare visit (other): X-ray

Release 11 — day 21, dose 4

2022-04-21

Symptoms: Long Covid Brain Fog. Not sure if it's From the virus itself, when I tested positive for it, or the vaccines. I can tell you it's been steadily increasing since I was first diagnosed. I've been proactive in trying to stay ahead. Had my 4th dose

Release 11 — day 28, dose 4

2022-04-27

Symptoms: Long Covid Brain Fog still lingering. I am just guessing it's from the virus when I tested positive. I am quadruple vaccinated at this time

Release 11 — day 35, dose 4

2022-05-04

Symptoms: Continuing Long Covid Brain Fog. I have difficulty concentrating for very long on something and forget to do things. Memory becomes foggy

Release 11 — day 42, dose 4

2022-05-11

Symptoms: Increasing Long Covid-19 Brain Fog, dry cough, runny nose, diarrhea Took a Rapid Covid test at home last night, it came up negative so far

Release 12 — 3 months, dose 5

2022-12-21

Symptoms: Night sweats, coughing, body aches

Healthcare visit (other): Dr visit

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	Unevaluable event	·	·	✓
SD	Brain fog	·	·	✓
SD	Confusional state	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Night sweats	·	·	✓
SD	Pain	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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