4SF-29251-32709

2 vaccinations 17 coded responses 23 check-ins 17 free-text entries 1 call case

Sex: Male
Age at first dose: 46-50
ZIP prefix: 980 / WA
Registered: 2021-04-28

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-27
Dose 1 — Pfizer-BioNTech
2021-04-28
Registered in v-safe
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Headache is very rare just when working my job with 100% concentration and energy then, brain seems to want to stop that. So I slow down. Feeling strong pain the portion of the arm being shot, the arms joint, a little bit pain on the back side of the neck where it is close to the arm being shot, the hand which is the side of being shot has pain when moves,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Arthralgia, Injection site pain, Mental impairment — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain

Free text: There is still pain at and around the location being shot. I feel 80 percent recovered. Joint pain exist a little bit. Abdominal pain does not exist but feel a little bit strange and feel it does not function100%. Pain goes almost away. My brain sometimes does not properly and perfectly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Feeling abnormal, Gastrointestinal disorder, Judgement impaired — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Free text: I cannot perform 100%. If I gear up, I feel strange inside of my brain. I feel the speed of judgment is slower. I feel and have a little bit thick head. I do not feel abdominal pain but feel strange inside of my abdominal parts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Apathy, Asthenia, Feeling abnormal, Gastrointestinal disorder, Pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sorry, I feel what is going on? Because CDC reports Pfeizer 1 st dose side effect is 3% or so, and go away in a couple of days. However, I still feel pain come out on various parts of body repeatedly appear and disappear. Today is already Saturday since I took vaccine on Tuesday. It does not go away. Abdominal function does not work well. I cannot judge on daily activities well. I loose energy and motivation for daily activity. I sometimes get pain and feeling weirded inside of my brain. I cannot have confidence these side effects go away soon or even stay for ever? I heard the volume of vaccine is same to big fat or strong body people and natural thin and small people. I feel this vaccine is not completely developed yet. Because I have never had such side effects by any other vaccine shots in my life.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Disturbance in attention, Headache, Nausea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Today, I am outside and joined the (b)(6). Beautiful sunshine. But I feel nausea and a little bit headache. While communicating with other people, I loose energy and cannot concentrate on conversations and being mingled with others are little bit feeling tough. I cannot get 100%energy and 100%abilities to judge.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Apathy, Asthenia, Depression, Fatigue, Feeling abnormal, Headache, Impaired work ability, Mental impairment, Somnolence — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My brain does not work 100% I cannot work hard and cannot bear up against any task which I handle. I continue to have a headache. This morning and every morning recently I cannot wake up. I cannot generate full energy and motivation as I could before taking first vaccine. I easily get tired than before. Is it true that these are going away soon? I feel sorry to my family and depressed because my body has been changed after first doze which I heard most people do not get side effects. I feel my abdominal keeps making me feel strange, weiter, and not good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 7, dose 1
MedDRA: Brain fog, Headache, Medical counselling, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My abdominal feeling still make me feel strange and weird but it gets better than yesterday. My ache and pain sometimes appear and disappear parts of hands and pats of legs. When I work hard and try to use my brain 100% and then I feel a little foggy on my brain or pain parts of my brain. Those pains do not stay and just appear and disappear. I called my doctora office today and assistant nurse says those symptoms are normal. I feel release a little bit and try to be ready for second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-18
Dose 2 — Pfizer-BioNTech
2021-05-18
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Hypersomnia, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: I had to use internet for an hour to complete a job last mid night. Since then I got both eyes pain. I took Tylenol and slept all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Self-medication — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: I took Tylenol and so I would not have severe pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Daydreaming — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Free text: I feel I am in the middle of foggy. I feel OK but it seems as if I am dreaming during a day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Impaired driving ability — Feeling: Good

Free text: I feel I am OK. But when I drove, I made a little bit miss judgement which it did not generate any incident however I felt my level of judgement decrease. Because I think It still remains side effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Gastrointestinal disorder, Judgement impaired — Feeling: Fair · Fatigue or tiredness

Free text: I feel a little bit abdominal function does not work well. I still feel some fatigue and my level of judgement does not come back to normal level yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 7, dose 2
MedDRA: Bradykinesia — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I feel OK today. I feel I am not 100percent coming back yet. I feel a little bit locking my brain when I work hard. My work speed is a little bit slower.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-08
Survey response — day 21, dose 2
MedDRA: Disturbance in attention, Fatigue, Feeling abnormal, Head discomfort, Impaired work ability — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I have some and a little bit strange feeling inside of my head. It made me easily get tired. I cannot concentrate on my job and does not feel mental energy. So I took a day off today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-17
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Until 08/02/2021, I kept having a mild to sever headache particularly back part of head connecting neck. According to news or my research, this seemed to be caused by a choke of blood vessel. My wife who shot with me also kept having headache.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-16
Survey response — 6 months, dose 2
MedDRA: Amnesia, Asthenia, Feeling abnormal, Headache — Feeling: Good

Free text: I feel the effects of the vaccine weakened my bone system. As a result, I feel my bones become weak, particularly at joint parts. I still sometimes lose short memories and a slight headach. The vaccine made my body functions weaker and feel strange.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-18
Survey response — 12 months, dose 2
MedDRA: Headache — Feeling: Fair

Free text: I still have a little bit pain inside of back brain

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-27	Pfizer-BioNTech
2	2021-05-18	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-28

Systemic reaction (other): Headache is very rare just when working my job with 100% concentration and energy then, brain seems to want to stop that. So I slow down. Feeling strong pain the portion of the arm being shot, the arms joint, a little bit pain on the back side of the neck where it is close to the arm being shot, the hand which is the side of being shot has pain when moves,

2021-04-29

Systemic reaction (other): There is still pain at and around the location being shot. I feel 80 percent recovered. Joint pain exist a little bit. Abdominal pain does not exist but feel a little bit strange and feel it does not function100%. Pain goes almost away. My brain sometimes does not properly and perfectly.

2021-04-30

Systemic reaction (other): I cannot perform 100%. If I gear up, I feel strange inside of my brain. I feel the speed of judgment is slower. I feel and have a little bit thick head. I do not feel abdominal pain but feel strange inside of my abdominal parts

2021-05-01

Systemic reaction (other): Sorry, I feel what is going on? Because CDC reports Pfeizer 1 st dose side effect is 3% or so, and go away in a couple of days. However, I still feel pain come out on various parts of body repeatedly appear and disappear. Today is already Saturday since I took vaccine on Tuesday. It does not go away. Abdominal function does not work well. I cannot judge on daily activities well. I loose energy and motivation for daily activity. I sometimes get pain and feeling weirded inside of my brain. I cannot have confidence these side effects go away soon or even stay for ever? I heard the volume of vaccine is same to big fat or strong body people and natural thin and small people. I feel this vaccine is not completely developed yet. Because I have never had such side effects by any other vaccine shots in my life.

2021-05-02

Systemic reaction (other): Today, I am outside and joined the (b)(6). Beautiful sunshine. But I feel nausea and a little bit headache. While communicating with other people, I loose energy and cannot concentrate on conversations and being mingled with others are little bit feeling tough. I cannot get 100%energy and 100%abilities to judge.

redacted (b)(6)

2021-05-03

Systemic reaction (other): My brain does not work 100% I cannot work hard and cannot bear up against any task which I handle. I continue to have a headache. This morning and every morning recently I cannot wake up. I cannot generate full energy and motivation as I could before taking first vaccine. I easily get tired than before. Is it true that these are going away soon? I feel sorry to my family and depressed because my body has been changed after first doze which I heard most people do not get side effects. I feel my abdominal keeps making me feel strange, weiter, and not good.

Release 8 — day 7, dose 1

2021-05-04

Systemic reaction (other): My abdominal feeling still make me feel strange and weird but it gets better than yesterday. My ache and pain sometimes appear and disappear parts of hands and pats of legs. When I work hard and try to use my brain 100% and then I feel a little foggy on my brain or pain parts of my brain. Those pains do not stay and just appear and disappear. I called my doctora office today and assistant nurse says those symptoms are normal. I feel release a little bit and try to be ready for second shot.

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): I had to use internet for an hour to complete a job last mid night. Since then I got both eyes pain. I took Tylenol and slept all day.

2021-05-20

Systemic reaction (other): I took Tylenol and so I would not have severe pains.

2021-05-21

Systemic reaction (other): I feel I am in the middle of foggy. I feel OK but it seems as if I am dreaming during a day.

2021-05-23

Systemic reaction (other): I feel I am OK. But when I drove, I made a little bit miss judgement which it did not generate any incident however I felt my level of judgement decrease. Because I think It still remains side effects.

2021-05-24

Systemic reaction (other): I feel a little bit abdominal function does not work well. I still feel some fatigue and my level of judgement does not come back to normal level yet.

Release 8 — day 7, dose 2

2021-05-25

Systemic reaction (other): I feel OK today. I feel I am not 100percent coming back yet. I feel a little bit locking my brain when I work hard. My work speed is a little bit slower.

Release 8 — day 21, dose 2

2021-06-08

Symptoms: I have some and a little bit strange feeling inside of my head. It made me easily get tired. I cannot concentrate on my job and does not feel mental energy. So I took a day off today.

Release 9 — 3 months, dose 2

2021-08-17

Symptoms: Until 08/02/2021, I kept having a mild to sever headache particularly back part of head connecting neck. According to news or my research, this seemed to be caused by a choke of blood vessel. My wife who shot with me also kept having headache.

Release 10 — 6 months, dose 2

2021-11-16

Symptoms: I feel the effects of the vaccine weakened my bone system. As a result, I feel my bones become weak, particularly at joint parts. I still sometimes lose short memories and a slight headach. The vaccine made my body functions weaker and feel strange. cut off by CDC

Release 11 — 12 months, dose 2

2022-05-18

Symptoms: I still have a little bit pain inside of back brain

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	Amnesia	·	·	✓
SD	Asthenia	·	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	·	✓
SD	Impaired work ability	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Apathy	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Bradykinesia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Daydreaming	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Impaired driving ability	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Judgement impaired	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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