5B5-54908-11678

3 vaccinations 17 coded responses 29 check-ins 17 free-text entries 4 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 935 / CA
Registered: 2021-04-23

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

2021-04-23
Registered in v-safe
2021-04-23
Dose 1 — Pfizer-BioNTech
2021-04-23
Survey response — day 0, dose 1
MedDRA: Condition aggravated, Nervousness, Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nervousness, ptsd flare-up priot to injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Poor · Site: Pain, Redness · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ear aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Possible mold exposure, breathing issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Ear pain — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ear ache lessened. Breathing issues ongoing however pulse ox 90. Still alive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-30
Survey response — day 7, dose 1
MedDRA: Depression — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Dose 2 — Pfizer-BioNTech
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear ache left side. Happened this morning suddenly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Ear pain — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to work, 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: Went to urgent care for ear ache, came home with sore back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Emergency care — Feeling: Fair · Fatigue or tiredness

Free text: Ear ache gone, examined at urgent care. Treated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-23
Survey response — day 7, dose 2
MedDRA: Back disorder, Lung disorder — Feeling: Fair · Joint pains

Free text: Bad back, lung issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — day 14, dose 2
MedDRA: Anxiety, Condition aggravated, Depression, Grief reaction, Post-traumatic stress disorder, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Breathing. Still have old med/MH issues flairing up-back, neck, ptsd,anxiety,depression,grief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-02-08
Dose 3 — Pfizer-BioNTech
2022-02-09
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease, Unevaluable event — Feeling: Poor · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Had , depression, PTSD MH issue, narcolepsy prior to booster. Possibly elevated due to shot. · Healthcare visit (other): Prior to shot, waiting for coverage to start in March 2022.

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-10
Survey response — days 1–6 daily, dose 3
MedDRA: Sleep disorder, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Sleep issues before and after booster · Healthcare visit (other): Waiting in kaiser medi medi to begin in march2022.

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — days 1–6 daily, 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

1 call case(s)
2022-02-11
Survey response — days 1–6 daily, dose 3
MedDRA: Depression, Narcolepsy, Sleep apnoea syndrome — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sleep apnea & narcolepsy still, levels same. Btwn severe and moderate. . Depression. Btwn severe and moderate. Booster site still sore, even after hit shower.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Call 1 — Left Voicemail
2022-02-11
Call 1 — Left Voicemail
2022-02-12
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Fatigue from narcolepsy, condition before booster.

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Survey response — days 1–6 daily, dose 3
MedDRA: Back disorder, Pre-existing disease, Sleep disorder, Unevaluable event — Feeling: Fair · Site: Pain

Free text: Narcolepsy, prior 2 booster- mh issues, bad back&neck, sleep issues.

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: Fatigue not c19 related. Mh issues. Regarding c19, no symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Survey response — day 7, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fatigue from mh issues prior to booster and C19.

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Call 1 — Left Voicemail
2022-02-16
Call 1 — Left Voicemail
2022-02-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Pfizer-BioNTech
2	2021-05-14	Pfizer-BioNTech
3	2022-02-08	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-23

Systemic reaction (other): Nervousness, ptsd flare-up priot to injection.

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Ear aches

2021-04-25

Systemic reaction (other): Possible mold exposure, breathing issues.

2021-04-26

Systemic reaction (other): Ear ache lessened. Breathing issues ongoing however pulse ox 90. Still alive.

Release 8 — day 7, dose 1

2021-04-30

Systemic reaction (other): Depression

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): Ear ache left side. Happened this morning suddenly.

2021-05-18

Systemic reaction (other): Went to urgent care for ear ache, came home with sore back.

2021-05-19

Systemic reaction (other): Ear ache gone, examined at urgent care. Treated.

Release 8 — day 7, dose 2

2021-05-23

Systemic reaction (other): Bad back, lung issues

Release 8 — day 14, dose 2

2021-05-30

Symptoms: Breathing. Still have old med/MH issues flairing up-back, neck, ptsd,anxiety,depression,grief.

Release 11 — days 1–6 daily, dose 3

2022-02-09

Systemic reaction (other): Had , depression, PTSD MH issue, narcolepsy prior to booster. Possibly elevated due to shot.

Healthcare visit (other): Prior to shot, waiting for coverage to start in March 2022.

2022-02-10

Systemic reaction (other): Sleep issues before and after booster

Healthcare visit (other): Waiting in kaiser medi medi to begin in march2022.

2022-02-11

Systemic reaction (other): Sleep apnea & narcolepsy still, levels same. Btwn severe and moderate. . Depression. Btwn severe and moderate. Booster site still sore, even after hit shower.

2022-02-12

Systemic reaction (other): Fatigue from narcolepsy, condition before booster.

2022-02-13

Systemic reaction (other): Narcolepsy, prior 2 booster- mh issues, bad back&neck, sleep issues.

2022-02-14

Systemic reaction (other): Fatigue not c19 related. Mh issues. Regarding c19, no symptoms.

Release 11 — day 7, dose 3

2022-02-15

Systemic reaction (other): Fatigue from mh issues prior to booster and C19.

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	Unevaluable event	·	·	✓
SD	Anxiety	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Grief reaction	✓	✓	✓
SD	Post-traumatic stress disorder	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Back disorder	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Lung disorder	✓	✓	✓
SRO	Narcolepsy	·	·	✓
SRO	Nervousness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sleep apnoea syndrome	·	·	✓
SRO	Sleep disorder	·	·	✓
SRO	Unevaluable event	·	·	✓

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