55H-54510-27894

4 vaccinations 16 coded responses 53 check-ins 16 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 080 / NJ
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Pfizer-BioNTech
2020-12-28
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Tinnitus moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Headache

Free text: Tinnitus mild decreased from yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness

Free text: Tinnitus mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Dose 2 — Pfizer-BioNTech
2021-01-18
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Increase in tinnitus starting a few hours after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Tinnitus but improved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Tinnitus mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness

Free text: Tinnitus mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Dose 3 — Pfizer-BioNTech
2021-10-05
Survey response — day 0, dose 3
MedDRA: Pain, Pre-existing disease, Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tinnitus and pain at an old thoracotomy site.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-10-12
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-16
Survey response — day 42, dose 3
MedDRA: Hypoacusis, Pre-existing disease, Tinnitus — Feeling: Good

Free text: Brief episode of increased tinnitus associated with decreased hearing right ear. Returned to baseline in a few minutes.

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-07
Survey response — 6 months, dose 3
MedDRA: Avulsion fracture, Fall — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Mechanical fall on March 19 resulting in right ankle avulsion fracture.

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Report sent to call center — 6 months, 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-04
Dose 4 — Pfizer-BioNTech
2022-10-04
Survey response — day 0, dose 4
MedDRA: Ankle fracture, Arthralgia, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Area right ankle that had fracture six months ago increase pain and periods of pain right toes.

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-06
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Periodic discomfort at old thoracotomy site increased after vaccination. Improving today.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-11
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-01
Survey response — day 28, dose 4
MedDRA: Arthralgia — Feeling: Good

Free text: Occasional joint pains mainly left foot and left wrist. Received influenza vaccine four days ago.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-18	Pfizer-BioNTech
3	2021-10-05	Pfizer-BioNTech	No
4	2022-10-04	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Tinnitus

2020-12-31

Systemic reaction (other): Tinnitus moderate

2021-01-01

Systemic reaction (other): Tinnitus mild decreased from yesterday

2021-01-02

Systemic reaction (other): Tinnitus moderate

2021-01-03

Systemic reaction (other): Tinnitus mild

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Tinnitus mild

Release 2 — day 0, dose 2

2021-01-18

Systemic reaction (other): Increase in tinnitus starting a few hours after injection

Release 2 — days 1–6 daily, dose 2

2021-01-19

Systemic reaction (other): Tinnitus but improved

2021-01-21

Systemic reaction (other): Tinnitus mild

2021-01-23

Systemic reaction (other): Tinnitus mild

Release 10 — day 0, dose 3

2021-10-05

Systemic reaction (other): Tinnitus and pain at an old thoracotomy site.

Release 10 — day 42, dose 3

2021-11-16

Symptoms: Brief episode of increased tinnitus associated with decreased hearing right ear. Returned to baseline in a few minutes.

Release 11 — 6 months, dose 3

2022-04-07

Symptoms: Mechanical fall on March 19 resulting in right ankle avulsion fracture.

Release 12 — day 0, dose 4

2022-10-04

Systemic reaction (other): Area right ankle that had fracture six months ago increase pain and periods of pain right toes.

Release 12 — days 1–6 daily, dose 4

2022-10-06

Systemic reaction (other): Periodic discomfort at old thoracotomy site increased after vaccination. Improving today.

Release 12 — day 28, dose 4

2022-11-01

Symptoms: Occasional joint pains mainly left foot and left wrist. Received influenza vaccine four days ago.

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	Arthralgia	·	·	✓
SD	Avulsion fracture	·	·	✓
SD	Fall	·	·	✓
SD	Hypoacusis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Ankle fracture	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Tinnitus	✓	✓	✓

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