66B-22180-41971

2 vaccinations 11 coded responses 21 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 481 / MI
Registered: 2021-04-01

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-30
Dose 1 — Pfizer-BioNTech
2021-04-01
Registered in v-safe
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Diarrhea, Abdominal pain

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Fleeting feelings of malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Panic attack, Paraesthesia, Tremor — Feeling: Fair · Headache, Nausea

Free text: Panic attack, legs tingling on and off from the knee down, tremors

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: Paraesthesia — Feeling: Good · Headache

Free text: Legs tingling on and off below the knee

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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — day 14, dose 1
MedDRA: Dizziness — Feeling: Fair

Free text: Dizziness of unknown origin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-27
Survey response — day 28, dose 1
MedDRA: Dizziness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness! It may be worth mentioning that I have an undiagnosed condition that Ive been dealing with for a couple years now. The dizziness is likely due to that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Anosmia, Nasal congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Nasal congestion, loss of smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Fair · Headache

Free text: Chest congestion, nasal congestion, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Nasal congestion, SARS-CoV-2 test positive — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest and nasal congestion. Tested Covid positive today!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 7, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Coughing and chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Survey response — day 21, dose 2
MedDRA: Cough, Dyspnoea, Erythema, Fatigue — Feeling: Fair

Free text: Cough, shortness of breath, red hot toes, fatigue, exhaustion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Parosmia, Taste disorder — Feeling: Fair

Free text: Smell and taste are not back to normal.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Fleeting feelings of malaise

2021-04-03

Systemic reaction (other): Panic attack, legs tingling on and off from the knee down, tremors

2021-04-04

Systemic reaction (other): Legs tingling on and off below the knee

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Dizziness of unknown origin

Release 8 — day 28, dose 1

2021-04-27

Symptoms: Dizziness! It may be worth mentioning that I have an undiagnosed condition that Ive been dealing with for a couple years now. The dizziness is likely due to that.

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Nasal congestion, loss of smell

2021-05-05

Systemic reaction (other): Chest congestion, nasal congestion, cough

2021-05-06

Systemic reaction (other): Chest and nasal congestion. Tested Covid positive today!!

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Coughing and chest congestion

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Cough, shortness of breath, red hot toes, fatigue, exhaustion

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Smell and taste are not back to normal.

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	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Erythema	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Parosmia	·	·	✓
SD	Taste disorder	·	·	✓
SRO	Anosmia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Panic attack	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓
SRO	Tremor	✓	✓	✓

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