5N8-15370-85357

3 vaccinations 15 coded responses 27 check-ins 15 free-text entries 9 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 117 / NY
Registered: 2021-01-30

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

2021-01-29
Dose 1 — Pfizer-BioNTech
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Oral pain — Feeling: Good

Free text: Mouth dryness and possible sores.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Poor sleep! Get 3 hrs of sleep and cant go back to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: The fatigue I experienced the pasted 6 days is gone as of last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Dose 2 — Pfizer-BioNTech
2021-02-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fever · Chills, Fatigue or tiredness

Free text: Just feel out of it and as if something coming on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — day 14, dose 2
MedDRA: Bell's palsy, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Bells Palsy disfigured my face. At least 4 doctors confirmed its a side effect of the Covid-19 vaccine. And also my dentist! How · Healthcare visit (other): Dentist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 21, dose 2
MedDRA: Facial paralysis, Nervousness, Physiotherapy, Specialist consultation, Tremor — Feeling: Poor · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: My face was improving and two days ago the left cheek is sagging more and Im getting more nervous and shaking. · Healthcare visit (other): Pain management and Physical Therapy for face and speech.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · 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: Bells Palsy had gotten worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 35, dose 2
MedDRA: Bell's palsy — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Bells Palsy on left side of face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Survey response — day 42, dose 2
MedDRA: Bell's palsy, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Still have Bells Palsy and its a long recovery time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-23
Survey response — 3 months, dose 2
MedDRA: Bell's palsy — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severer Bells Palsy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Bell's palsy — Feeling: Poor · Be unable to do your normal daily activities

Free text: Bells Palsy still continues snd gets worse at times.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-13
Dose 3 — Moderna
2022-02-19
Survey response — 12 months, dose 2
MedDRA: Bell's palsy, Fatigue, Massage, Pain, Physiotherapy — Feeling: Poor · 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: Symptoms: Bell's Palsy continues to causes major issues. Tired, aches and pains. · Healthcare visit (other): Physical and facial massage therapy.

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-03-14
Survey response — 3 months, dose 3
MedDRA: Deformity, Office visit, Swelling face, Visual impairment — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Declining eye sight in left eye, more facial swelling and disfigurement on left side of face. Plus it's ruining my relationship with someone I care very much about. · Healthcare visit (other): Facial therapy and eye doctor.

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-13
Survey response — 6 months, dose 3
MedDRA: Bell's palsy — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continued issues from Bell's Palsy from Covid vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-13
Survey response — 12 months, dose 3
MedDRA: Platelet count decreased — Feeling: Poor · Be unable to do your normal daily activities

Free text: Drop in my platelets counts.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-19	Pfizer-BioNTech
3	2021-12-13	Moderna	No

Call center

9 call center cases

9 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Mouth dryness and possible sores.

2021-02-04

Systemic reaction (other): Poor sleep! Get 3 hrs of sleep and cant go back to sleep.

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): The fatigue I experienced the pasted 6 days is gone as of last night.

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Just feel out of it and as if something coming on.

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Bells Palsy disfigured my face. At least 4 doctors confirmed its a side effect of the Covid-19 vaccine. And also my dentist! How

Healthcare visit (other): Dentist

Release 5 — day 21, dose 2

2021-03-12

Symptoms: My face was improving and two days ago the left cheek is sagging more and Im getting more nervous and shaking.

Healthcare visit (other): Pain management and Physical Therapy for face and speech.

Release 5 — day 28, dose 2

2021-03-19

Symptoms: Bells Palsy had gotten worse.

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Bells Palsy on left side of face.

Release 6 — day 42, dose 2

2021-04-04

Symptoms: Still have Bells Palsy and its a long recovery time.

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: Severer Bells Palsy.

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Bells Palsy still continues snd gets worse at times.

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Bell's Palsy continues to causes major issues. Tired, aches and pains.

Healthcare visit (other): Physical and facial massage therapy.

Release 11 — 3 months, dose 3

2022-03-14

Symptoms: Declining eye sight in left eye, more facial swelling and disfigurement on left side of face. Plus it's ruining my relationship with someone I care very much about.

Healthcare visit (other): Facial therapy and eye doctor.

Release 12 — 6 months, dose 3

2022-06-13

Symptoms: Continued issues from Bell's Palsy from Covid vaccine.

Release 12 — 12 months, dose 3

2022-12-13

Symptoms: Drop in my platelets counts.

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	Massage	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Bell's palsy	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Deformity	·	·	✓
SD	Facial paralysis	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Nervousness	✓	✓	✓
SD	Pain	·	·	✓
SD	Platelet count decreased	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Swelling face	·	·	✓
SD	Tremor	✓	✓	✓
SD	Unevaluable event	○	✓	○
SD	Visual impairment	·	·	✓
SRO	Dry mouth	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Oral pain	○	✓	○

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