6PH-23885-19571

3 vaccinations 6 coded responses 39 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 26-30
ZIP prefix: 941 / CA
Registered: 2021-04-22

Relationship: Self
Race: Asian
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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Pfizer-BioNTech
2021-04-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-04-29
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-13
Dose 2 — Pfizer-BioNTech
2021-05-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-20
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-27
Survey response — day 14, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: A bit of soreness on my injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 21, dose 2
MedDRA: Rectal haemorrhage — Feeling: Good

Free text: Rectal bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — day 35, dose 2
MedDRA: Headache, Hypersensitivity — Feeling: Fair

Free text: Huge headache on 15Jun21, left hemisphere of brain: motor and sensory cortex, parietal lobe, upper part of occiptial lobe. My immune system seems to dropped significantly ever since March of 2020, allergies that I never got I'm starting to get

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-08
Dose 3 — Pfizer-BioNTech
2021-12-08
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-11
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 · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-15
Survey response — day 7, dose 3
MedDRA: Limb mass — Feeling: Good

Free text: There's a 4 by 4 millimeter lump that grew on my right elbow, no pain/rash/anything, it just there

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-19
Survey response — day 42, dose 3
MedDRA: Subdural haemorrhage — Feeling: Good

Free text: I was lifting weights and did an extra set than normal, noticed the next day that there is a 4 by 4 millimeter internal bleeding spot on the inside of my left elbow. It's been 4 days, it's slowly diminishing.

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Survey response — 3 months, dose 3
MedDRA: Abdominal pain lower, Food poisoning, Syncope — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: On 26Jan22, I've fainted for the first time in my life. No prior alcohol/drugs usage of any kind. Woke up from bed to an immense lower abdominal pain, food poisoning from expired soy milk, fainted the moment I sat on the toilet. 1-2mins fainted time.

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-08
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Pfizer-BioNTech
2	2021-05-13	Pfizer-BioNTech
3	2021-12-08	Pfizer-BioNTech	No

Free text

Release 8 — day 14, dose 2

2021-05-27

Symptoms: A bit of soreness on my injection arm

Release 8 — day 21, dose 2

2021-06-03

Symptoms: Rectal bleeding

Release 9 — day 35, dose 2

2021-06-17

Symptoms: Huge headache on 15Jun21, left hemisphere of brain: motor and sensory cortex, parietal lobe, upper part of occiptial lobe. My immune system seems to dropped significantly ever since March of 2020, allergies that I never got I'm starting to get

Release 10 — day 7, dose 3

2021-12-15

Systemic reaction (other): There's a 4 by 4 millimeter lump that grew on my right elbow, no pain/rash/anything, it just there

Release 10 — day 42, dose 3

2022-01-19

Symptoms: I was lifting weights and did an extra set than normal, noticed the next day that there is a 4 by 4 millimeter internal bleeding spot on the inside of my left elbow. It's been 4 days, it's slowly diminishing.

Release 11 — 3 months, dose 3

2022-03-09

Symptoms: On 26Jan22, I've fainted for the first time in my life. No prior alcohol/drugs usage of any kind. Woke up from bed to an immense lower abdominal pain, food poisoning from expired soy milk, fainted the moment I sat on the toilet. 1-2mins fainted time. cut off by CDC

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	Abdominal pain lower	·	·	✓
SD	Food poisoning	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Rectal haemorrhage	✓	✓	✓
SD	Subdural haemorrhage	·	·	✓
SD	Syncope	·	·	✓
SRO	Limb mass	·	·	✓

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