5HN-22065-50993

4 vaccinations 9 coded responses 30 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 212 / MD
Registered: 2021-04-02

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

Registered dependents

V6Q-18595-60934 Adult relative or friend · Female · 2021-12-27

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-02
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Within hour of getting vac, could feel face getting "fuzzy", went home ~ as time wore on , more mind foggyness - kept track and by about 12 hours afterwards strutted to clear. Much better, no grogginess in morning...

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-20
Survey response — day 0, dose 2
MedDRA: Toothache — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Oddly enough, teeth hurt...?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Immediate post-injection reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Evening of injection, became very cold, then started vigously shaking before midnight. Continued for three hours and well into trying to get to sleep . Slept most of following day ~ mild mild but continued trembling into night , to only trail off by afternoon Friday. Food tastes altered. I've been coffee drinker for decades and for past two days coffee tasted horrid. Leaned over and accidentally smelled garlic salami - instantly wanted to throw up, but successfully fought waves of sensation. Had nothing like this after first injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Concussion, Cough, Fall, Head injury — Feeling: Fair

Free text: Occasional, recurring dry cough Concussion ~ fall due to broken sidewalk, striking head against fence post

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Dose 3 — Pfizer-BioNTech
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Feeling cold, Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very stiff ~ all joints hurt ~ can't get warm

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-27
Health check-in — day 7, dose 3
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-01-03
Survey response — day 14, dose 3
MedDRA: Cough, Ear pain, Eye pain, Productive cough, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continuous coughing ~ phlegm in chest and coughed up ~ runny nose, pain under eyes and behind right ear ~ for past three days Don't think related to my vaccination on 20th ~~~ I'm masked but on MD eastern shore ~ mos everyone in public are maskless

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — day 28, dose 3
MedDRA: Fatigue, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue (lingering since start year) and sensation of room spinning (5 days)

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — day 35, dose 3
MedDRA: Balance disorder, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continuing balance problems since start of year ~ difficulties setting a level horizon, Since start of year, two occasions of room spinning sensation longest lasting 20 mjnutes~ vertigo?

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-05-23
Dose 4 — Pfizer-BioNTech
2022-06-09
Survey response — day 14, dose 4
MedDRA: Headache, Lethargy — Feeling: Poor

Free text: Headaches ~ lethargy: lessened over course of three days after shot

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-08-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-25
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech
3	2021-12-20	Pfizer-BioNTech	No
4	2022-05-23	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Within hour of getting vac, could feel face getting "fuzzy", went home ~ as time wore on , more mind foggyness - kept track and by about 12 hours afterwards strutted to clear. Much better, no grogginess in morning...

Release 7 — day 0, dose 2

2021-04-20

Systemic reaction (other): Oddly enough, teeth hurt...?

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Evening of injection, became very cold, then started vigously shaking before midnight. Continued for three hours and well into trying to get to sleep . Slept most of following day ~ mild mild but continued trembling into night , to only trail off by afternoon Friday. Food tastes altered. I've been coffee drinker for decades and for past two days coffee tasted horrid. Leaned over and accidentally smelled garlic salami - instantly wanted to throw up, but successfully fought waves of sensation. Had nothing like this after first injection

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Occasional, recurring dry cough Concussion ~ fall due to broken sidewalk, striking head against fence post

Release 10 — days 1–6 daily, dose 3

2021-12-22

Systemic reaction (other): Very stiff ~ all joints hurt ~ can't get warm

Release 10 — day 14, dose 3

2022-01-03

Symptoms: Continuous coughing ~ phlegm in chest and coughed up ~ runny nose, pain under eyes and behind right ear ~ for past three days Don't think related to my vaccination on 20th ~~~ I'm masked but on MD eastern shore ~ mos everyone in public are maskless cut off by CDC

Release 10 — day 28, dose 3

2022-01-20

Symptoms: Fatigue (lingering since start year) and sensation of room spinning (5 days)

Release 11 — day 35, dose 3

2022-01-24

Symptoms: Continuing balance problems since start of year ~ difficulties setting a level horizon, Since start of year, two occasions of room spinning sensation longest lasting 20 mjnutes~ vertigo?

Release 12 — day 14, dose 4

2022-06-09

Symptoms: Headaches ~ lethargy: lessened over course of three days after shot

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	Balance disorder	·	·	✓
SD	Concussion	·	·	✓
SD	Cough	·	·	✓
SD	Ear pain	·	·	✓
SD	Eye pain	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	·	·	✓
SD	Head injury	·	·	✓
SD	Headache	·	·	✓
SD	Lethargy	·	·	✓
SD	Productive cough	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Vertigo	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Toothache	✓	✓	✓

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