686-11589-65587

5 vaccinations 8 coded responses 65 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 441 / OH
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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-01
Survey response — day 0, dose 1
MedDRA: Asthma, Drug hypersensitivity, Food allergy, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Headache

Free text: Severe Asthma; SLE Lupus; RA; Atopic Dermititis; Allergies - food and drugs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain

Free text: Twitching a lot and weird aura

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 · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Insomnia, Restless legs syndrome — Feeling: Good

Free text: From the 1st of April to the 14th April, every day I had odd insomnia and slept great lengths of time. I have restless leg syndrome and taking Requip and baclofan with a night dose of Numenda and was not able to get to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Survey response — day 0, dose 2
MedDRA: Muscle spasms, Muscle twitching — Feeling: Fair · Site: Pain, Redness, Swelling

Free text: Twitching and spasms in face and left arm

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: Muscle spasms, Muscle twitching — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Spasm, twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Depressed mood, Muscle spasms, Muscle twitching — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain

Free text: Twitching, spasms and sad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Muscle twitching — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Twitching, spasming

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
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
2021-09-05
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-05
Survey response — day 0, dose 3
MedDRA: Restlessness — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Restless

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-11
Dose 4 — Pfizer-BioNTech
2022-02-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-02-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-02-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-03-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-03-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-03-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-03-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-08-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-25
Dose 5 — Pfizer-BioNTech
2022-10-25
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-01
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-08
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-29
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-06
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-24
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-25
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2021-09-05	Pfizer-BioNTech	Flu
4	2022-02-11	Pfizer-BioNTech	No
5	2022-10-25	Pfizer-BioNTech	No

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Severe Asthma; SLE Lupus; RA; Atopic Dermititis; Allergies - food and drugs.

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Twitching a lot and weird aura

Release 7 — day 14, dose 1

2021-04-15

Symptoms: From the 1st of April to the 14th April, every day I had odd insomnia and slept great lengths of time. I have restless leg syndrome and taking Requip and baclofan with a night dose of Numenda and was not able to get to sleep.

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): Twitching and spasms in face and left arm

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Spasm, twitching

2021-04-24

Systemic reaction (other): Twitching, spasms and sad

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Twitching, spasming

Release 9 — day 0, dose 3

2021-09-05

Systemic reaction (other): Restless

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	Insomnia	✓	✓	✓
SD	Restless legs syndrome	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Drug hypersensitivity	✓	✓	✓
SRO	Food allergy	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Restlessness	✓	·	✓

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