58V-14475-87270

4 vaccinations 13 coded responses 52 check-ins 13 free-text entries 0 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 980 / WA
Registered: 2021-04-04

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-04
Registered in v-safe
2021-04-04
Dose 1 — Pfizer-BioNTech
2021-04-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Redness · Muscle or body aches

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

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Vomiting

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Memory impairment — Feeling: Fair · Fatigue or tiredness

Free text: Mildly forgetful, waking into a room and forgetting why kind of forgetful

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-02
Dose 2 — Pfizer-BioNTech
2021-05-02
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Rash pruritic — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Itchy spots popped up on my leg and lower back, dont know if its related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-09
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-30
Survey response — day 28, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Good

Free text: I suspect its just allergies but some days Ill feel run down, and some days Ill feel almost feverish but not really; at no point have I had a fever since the first couple of days after the second dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-01
Survey response — 3 months, dose 2
MedDRA: Herpes zoster — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I got shingles on July 4

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-31
Survey response — 6 months, dose 2
MedDRA: Nasal congestion, Nasopharyngitis, Pre-existing disease, Throat irritation — Feeling: Good

Free text: Occasions stuffy nose, scratchy throat, stuff like that. Most appear to me very mild colds or allergies and some seem directly related to being vaccinated.

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Dose 3 — Moderna
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-19
Survey response — day 7, dose 3
MedDRA: Arthralgia, Myalgia — Feeling: Good

Free text: I've loads of achy joints and muscles but I've also been remodeling my house so I'm 99% sure it's not related to the vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-15
Survey response — 3 months, dose 3
MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: I'm pretty positive it's just related to construction work I've been doing, but the arthritis in my hands is much more extreme than a couple months back.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-14
Dose 4 — Pfizer-BioNTech
2022-09-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-18
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat- I think I may have been exposed to Covid or something else tho I'm the last few days, felt great yesterday so odd for it to take a turn.

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Survey response — days 1–6 daily, dose 4
MedDRA: Exposure to SARS-CoV-2, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat- active Covid in my household, rapid tests say negative right now

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-21
Survey response — day 7, dose 4
MedDRA: COVID-19, Cough, Decreased appetite — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Coughing, loss of appetite. Pretty sure I caught Covid before the vaccine took effect, and I'm in unhealthy wildfire smoke so everything just kinda sucks right now

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-12
Survey response — day 28, dose 4
MedDRA: Back pain, Cough, Fatigue, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have a lingering cough, fatigue, and soreness in my back I think was from a Covid infection- but I never tested positive, just had the symptoms. Also being exposed to loads of wildfire smoke which doesn't help.

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-26
Survey response — day 42, dose 4
MedDRA: Back pain, Cough, Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still have a weird back ache and what feels like a chronic cough that developed after my family got Covid (and I had symptoms but didn't test positive)

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Survey response — 3 months, dose 4
MedDRA: Viral infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Caught some sort of virus

MedDRA releases: 2024-11 · check-in free text available
2023-03-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-04	Pfizer-BioNTech
2	2021-05-02	Pfizer-BioNTech
3	2021-12-12	Moderna	No
4	2022-09-14	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Mildly forgetful, waking into a room and forgetting why kind of forgetful

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Itchy spots popped up on my leg and lower back, dont know if its related

Release 8 — day 28, dose 2

2021-05-30

Symptoms: I suspect its just allergies but some days Ill feel run down, and some days Ill feel almost feverish but not really; at no point have I had a fever since the first couple of days after the second dose.

Release 9 — 3 months, dose 2

2021-08-01

Symptoms: I got shingles on July 4

Release 10 — 6 months, dose 2

2021-10-31

Symptoms: Occasions stuffy nose, scratchy throat, stuff like that. Most appear to me very mild colds or allergies and some seem directly related to being vaccinated.

Release 10 — day 7, dose 3

2021-12-19

Systemic reaction (other): I've loads of achy joints and muscles but I've also been remodeling my house so I'm 99% sure it's not related to the vaccine

Release 11 — 3 months, dose 3

2022-03-15

Symptoms: I'm pretty positive it's just related to construction work I've been doing, but the arthritis in my hands is much more extreme than a couple months back.

Release 12 — days 1–6 daily, dose 4

2022-09-18

Systemic reaction (other): Sore throat- I think I may have been exposed to Covid or something else tho I'm the last few days, felt great yesterday so odd for it to take a turn.

2022-09-19

Systemic reaction (other): Sore throat- active Covid in my household, rapid tests say negative right now

Release 12 — day 7, dose 4

2022-09-21

Systemic reaction (other): Coughing, loss of appetite. Pretty sure I caught Covid before the vaccine took effect, and I'm in unhealthy wildfire smoke so everything just kinda sucks right now

Release 12 — day 28, dose 4

2022-10-12

Symptoms: I have a lingering cough, fatigue, and soreness in my back I think was from a Covid infection- but I never tested positive, just had the symptoms. Also being exposed to loads of wildfire smoke which doesn't help.

Release 12 — day 42, dose 4

2022-10-26

Symptoms: Still have a weird back ache and what feels like a chronic cough that developed after my family got Covid (and I had symptoms but didn't test positive)

Release 12 — 3 months, dose 4

2022-12-14

Symptoms: Caught some sort of virus

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	Arthritis	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Herpes zoster	✓	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	·	·	✓
SD	Viral infection	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Cough	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Exposure to SARS-CoV-2	·	·	✓
SRO	Memory impairment	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rash pruritic	✓	✓	✓
SRO	SARS-CoV-2 test negative	·	·	✓

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