647-28804-16425

3 vaccinations 14 coded responses 36 check-ins 14 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 802 / CO
Registered: 2021-04-02

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Issues started about 7h post injection, peaked at ~14h post injection and are subsiding rapidly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Hunger — Feeling: Good

Free text: Hungry to the point of famished

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Hunger — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hunger

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Hunger — Feeling: Good · Site: Pain, Swelling

Free text: Ravenous hunger

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Survey response — 6 months, dose 2
MedDRA: Asthenia, Autonomic nervous system imbalance, Brain fog, Breakthrough COVID-19, Escherichia infection, Hypoxia, Pneumonia, Pneumothorax, Tachycardia, Thrombosis — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Breakthrough Covid, first symptoms ~8/25. Got ALL common symptoms plus blood clots, pneumonia, collapsed lungs, severe hypoxia, tacycardia, disautonamia, brain fog, EXTREME loss of energy, and opportunistic e. coli infection.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-28
Call 1 — Left Voicemail
2021-11-19
Dose 3 — Moderna
Co-administered: Flu
2021-11-19
Survey response — day 0, dose 3
MedDRA: Breakthrough COVID-19, Tachycardia — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tachycardia, likely from breakthrough covid infection

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Good · Site: Pain, Redness, Swelling · Nausea, Vomiting

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Breakthrough COVID-19, Hypoxia, Oxygen saturation decreased — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hypoxia - O2 sats mid 80s; this has been a recurring problem since breakthrough covid and may not be related to the vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoxia — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Free text: Hypoxia

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoxia — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Free text: Hypoxia

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Survey response — day 7, dose 3
MedDRA: Hypoxia, Tachycardia — Feeling: Good · Fatigue or tiredness

Free text: Tachycardia easing. Still mildly hypoxic.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — day 28, dose 3
MedDRA: Breakthrough COVID-19, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: UTI from earlier covid breakthrough broke through Shannon.

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-18
Survey response — 3 months, dose 3
MedDRA: Depression, Hypoxia, Tachycardia, Urinary tract infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tachycardia, hypoxia, uti, depression

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — 6 months, dose 3
MedDRA: COVID-19, Post-acute COVID-19 syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Got covid again about 3 weeks ago. Still feeling long covid from August 2021 infection.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech
3	2021-11-19	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Issues started about 7h post injection, peaked at ~14h post injection and are subsiding rapidly.

2021-04-04

Systemic reaction (other): Hungry to the point of famished

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Hunger

2021-04-25

Systemic reaction (other): Ravenous hunger

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Breakthrough Covid, first symptoms ~8/25. Got ALL common symptoms plus blood clots, pneumonia, collapsed lungs, severe hypoxia, tacycardia, disautonamia, brain fog, EXTREME loss of energy, and opportunistic e. coli infection.

Release 10 — day 0, dose 3

2021-11-19

Systemic reaction (other): Tachycardia, likely from breakthrough covid infection

Release 10 — days 1–6 daily, dose 3

2021-11-21

Systemic reaction (other): Insomnia

2021-11-23

Systemic reaction (other): Hypoxia - O2 sats mid 80s; this has been a recurring problem since breakthrough covid and may not be related to the vaccine

2021-11-24

Systemic reaction (other): Hypoxia

2021-11-25

Systemic reaction (other): Hypoxia

Release 10 — day 7, dose 3

2021-11-27

Systemic reaction (other): Tachycardia easing. Still mildly hypoxic.

Release 10 — day 28, dose 3

2021-12-19

Symptoms: UTI from earlier covid breakthrough broke through Shannon.

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Tachycardia, hypoxia, uti, depression

Release 11 — 6 months, dose 3

2022-05-25

Symptoms: Got covid again about 3 weeks ago. Still feeling long covid from August 2021 infection.

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	Asthenia	·	·	✓
SD	Autonomic nervous system imbalance	·	·	✓
SD	Brain fog	·	·	✓
SD	Breakthrough COVID-19	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Escherichia infection	·	·	✓
SD	Hypoxia	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pneumothorax	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Tachycardia	·	·	✓
SD	Thrombosis	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Breakthrough COVID-19	·	·	✓
SRO	Hunger	✓	✓	✓
SRO	Hypoxia	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Oxygen saturation decreased	·	·	✓
SRO	Tachycardia	·	·	✓

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