6FC-27217-38977

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 3 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 721 / AR
Registered: 2021-03-11

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-11
Registered in v-safe
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: A bit dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: I have osteoarthritis so it is hard to say why I have joint and muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain — Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My eyes hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Eye pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Eyes are burning and painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 1
MedDRA: Respiratory tract congestion — Feeling: Good · Headache

Free text: Congested

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 14, dose 1
MedDRA: Cough, Feeling abnormal, Headache, Myalgia, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough, headache, body ache, muscle ache, feverish, feel bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: I have arthritis so joint and muscle pain are comon for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus hypersecretion, Respiratory tract congestion — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Head stopped up and enough drainage to make me stop my car and spit up snot, in order to breathe.

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

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-04-06
Survey response — day 7, dose 2
MedDRA: Adverse reaction, Food allergy, Hypersensitivity — Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Allergic reaction to some food (oatmeal and honey snack bar) that has never caused a reaction before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 14, dose 2
MedDRA: Cough, Depression, Hypersomnia, Oropharyngeal pain, Rhinorrhoea, Somnolence — Feeling: Poor · Be unable to do your normal daily activities

Free text: Very sleepy today. I was not able to get to sleep until about 2am then slept until 9:45am. Got up fixed breakfast ate. Got a head ake and went back to bed and slept until 3 pm. Ate and went back to sleep. Cough, nose runny, sour throat. Depressed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Flareup of my nearopithy (sp) and uleser (sp) nothing easley associated with CV19 · Healthcare visit (other): Uper GI 2. Staroid injection in my back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-30
Survey response — 12 months, dose 2
MedDRA: Bronchitis, Pre-existing disease, Sinus disorder — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus trouble, bronchitis, spring allergy

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): A bit dizzy

2021-03-14

Systemic reaction (other): I have osteoarthritis so it is hard to say why I have joint and muscle pain

2021-03-15

Systemic reaction (other): My eyes hurt.

2021-03-16

Systemic reaction (other): Eyes are burning and painful

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Congested

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Cough, headache, body ache, muscle ache, feverish, feel bad.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): I have arthritis so joint and muscle pain are comon for me.

2021-04-01

Systemic reaction (other): Head stopped up and enough drainage to make me stop my car and spit up snot, in order to breathe.

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Allergic reaction to some food (oatmeal and honey snack bar) that has never caused a reaction before.

Release 7 — day 14, dose 2

2021-04-13

Symptoms: Very sleepy today. I was not able to get to sleep until about 2am then slept until 9:45am. Got up fixed breakfast ate. Got a head ake and went back to bed and slept until 3 pm. Ate and went back to sleep. Cough, nose runny, sour throat. Depressed.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Flareup of my nearopithy (sp) and uleser (sp) nothing easley associated with CV19

Healthcare visit (other): Uper GI 2. Staroid injection in my back

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Sinus trouble, bronchitis, spring allergy

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	Unevaluable event	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Adverse reaction	○	✓	○
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Food allergy	✓	·	✓
SRO	Hypersensitivity	○	✓	○
SRO	Myalgia	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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