5KP-23773-36888

5 vaccinations 7 coded responses 19 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 926 / CA
Registered: 2021-04-15

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

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-15
Registered in v-safe
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Abdominal pain

Free text: Vein tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Mild throat pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Flatulence — Feeling: Fair · Abdominal pain

Free text: Gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 35, dose 2
MedDRA: Abdominal pain, Back pain, Diarrhoea, Dysarthria, Ear pain, Fatigue, Flank pain, Headache, Lethargy, Muscle atrophy, Muscle spasms, Myalgia, Oropharyngeal pain, Somnolence, Throat clearing, Tremor, Vascular pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Diarrhea, abdominal pain, cramps, flank pain, back pain, fatigue, ear ache, muscle aches, vein pain, throat pain, throat clearing, trembling, hand shaking, slurring, muscle collapse, lethargy, dizziness, drowsiness, severe headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 35, 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)
2021-05-26
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Asthenia, Cholelithiasis, Fatigue, Flank pain, Gastrointestinal disorder, Headache, Irritable bowel syndrome, Myalgia, Splenomegaly — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Gallbladder stones (ultrasound), enlarged spleen (CT scan), flank pain, headaches, muscle aches, extreme fatigue, weakness, GI issues, IBS-C.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-14
Call 2 — Could Not Reach Participant
2021-10-14
Call 2 — Could Not Reach Participant
2021-10-19
Call 3 — Could Not Reach Participant
2021-10-19
Call 3 — Could Not Reach Participant
2021-11-11
Dose 3 — Pfizer-BioNTech
2022-04-02
Dose 4 — Moderna
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Back pain, Biliary colic, Cough, Dyspnoea, Fatigue, Myalgia, Pre-existing disease, Pulmonary pain, Renal pain, Somnolence — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Acquired gallbladder stones, enlarged spleen, INS-C, brain fog diagnosed by new CT scans before vaccination. Exhaustion, cough, lung pain, shortness of breath, dyspnoia, sleepiness, extreme back pain, gallbladder pain, kidney pain, muscle aches.

MedDRA releases: 2024-11 · check-in free text available
2022-09-15
Dose 5 — Moderna
Co-administered: Flu
2022-10-14
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 42, dose 5
Feeling: Poor

Adult check-in
2022-12-15
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-16
Survey response — 6 months, dose 5
MedDRA: Abdominal pain upper, Autoimmune thyroiditis, Biliary colic, Brain fog, Diverticulitis, Fatigue, Gastrointestinal pain, Memory impairment — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-16
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-17
Call 1 — Left Voicemail
2023-03-17
Call 1 — Left Voicemail
2023-03-17
Call 1 — Left Voicemail
2023-04-06
Call successful
Completed over the phone
2023-04-06
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2021-11-11	Pfizer-BioNTech	No
4	2022-04-02	Moderna	No
5	2022-09-15	Moderna	Flu

Call center

3 call center cases

2 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Vein tingling

2021-04-20

Systemic reaction (other): Mild throat pain

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Gas

Release 8 — day 35, dose 2

2021-05-21

Symptoms: Diarrhea, abdominal pain, cramps, flank pain, back pain, fatigue, ear ache, muscle aches, vein pain, throat pain, throat clearing, trembling, hand shaking, slurring, muscle collapse, lethargy, dizziness, drowsiness, severe headache

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Gallbladder stones (ultrasound), enlarged spleen (CT scan), flank pain, headaches, muscle aches, extreme fatigue, weakness, GI issues, IBS-C.

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: Acquired gallbladder stones, enlarged spleen, INS-C, brain fog diagnosed by new CT scans before vaccination. Exhaustion, cough, lung pain, shortness of breath, dyspnoia, sleepiness, extreme back pain, gallbladder pain, kidney pain, muscle aches.

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	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Asthenia	·	·	✓
SD	Autoimmune thyroiditis	·	·	✓
SD	Back pain	✓	✓	✓
SD	Biliary colic	·	·	✓
SD	Brain fog	·	·	✓
SD	Cholelithiasis	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Diverticulitis	·	·	✓
SD	Dysarthria	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Lethargy	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Muscle atrophy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary pain	·	·	✓
SD	Renal pain	·	·	✓
SD	Somnolence	✓	✓	✓
SD	Splenomegaly	·	·	✓
SD	Throat clearing	✓	✓	✓
SD	Tremor	✓	✓	✓
SD	Vascular pain	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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