6CV-14347-56202

4 vaccinations 7 coded responses 29 check-ins 7 free-text entries 3 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 752 / TX
Registered: 2021-03-07

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

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-07
Registered in v-safe
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Eye inflammation — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Inflammation of eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 7, dose 1
MedDRA: Eye inflammation — Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eye Inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Acne — Feeling: Good · Site: Pain

Free text: Severe acne breakout on entire upper body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 14, dose 2
MedDRA: Arthralgia, Insomnia, Loss of personal independence in daily activities — Feeling: Good

Free text: Joint pain in elbow remains, and seems to have extended to wrist and fingers as well as shoulder. Hinders sleep and daily activities but doesn't prevent.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 42, dose 2
MedDRA: Arthralgia, Office visit, Pain in extremity, Tendonitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I believe tendinitis in my right arm- elbow and wrist. Various intensities of pain. · Healthcare visit (other): Primary care physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
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)
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Food allergy — Feeling: Good · 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

Free text: I became allergic to tree nuts. Specifically pecans. Just being complete, even though unlikely related.

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
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 · 1 call case(s)
2021-09-24
Call 2 — Left Voicemail
2021-12-04
Dose 3 — Moderna
2022-03-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Pfizer-BioNTech
2022-04-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-13
Survey response — 3 months, dose 4
MedDRA: COVID-19, Cognitive disorder, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Cognitive decline after covid infection. · Healthcare visit (other): Primary Care Physician

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-10-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-12-04	Moderna	No
4	2022-04-13	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Inflammation of eyes

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Eye Inflammation

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Severe acne breakout on entire upper body

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Joint pain in elbow remains, and seems to have extended to wrist and fingers as well as shoulder. Hinders sleep and daily activities but doesn't prevent.

Release 8 — day 42, dose 2

2021-05-06

Symptoms: I believe tendinitis in my right arm- elbow and wrist. Various intensities of pain.

Healthcare visit (other): Primary care physician

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: I became allergic to tree nuts. Specifically pecans. Just being complete, even though unlikely related.

Release 12 — 3 months, dose 4

2022-07-13

Symptoms: Cognitive decline after covid infection.

Healthcare visit (other): Primary Care Physician

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	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cognitive disorder	·	·	✓
SD	COVID-19	·	·	✓
SD	Food allergy	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Tendonitis	✓	✓	✓
SRO	Acne	✓	✓	✓
SRO	Eye inflammation	✓	✓	✓

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