6QR-15621-75703

3 vaccinations 12 coded responses 34 check-ins 12 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 480 / MI
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Pfizer-BioNTech
2021-02-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw, Toothache — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in my jaws/teeth

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

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Learned this morning, I tested positive for Covid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in jaw, SARS-CoV-2 test positive — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Learned yesterday I tested positive for Covid; pain in both jaws

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 7, dose 2
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I tested positive for Covid on March 24

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-10
Survey response — day 21, dose 2
MedDRA: Dizziness, Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, shortness of breath, dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 28, dose 2
MedDRA: Brain fog, Chest pain, Dizziness, Fatigue, Productive cough, Somnolence — Feeling: Fair · Be unable to work, 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: Light-headed, fogginess, fatigue, sleepy, chest pain, coughing up dark phlegm... Monday, will have heart catheterization to determine blockage & whether Stent needed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Survey response — day 42, dose 2
MedDRA: Chest pain, Cough, Dizziness, Dyspnoea, Fatigue, Lethargy, Respiratory tract congestion, Somnolence, Syncope — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chronic symptoms, including lethargy fatigue dizziness sleepiness faint shortness of breath, and mild cough, mild chest pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — 3 months, dose 2
MedDRA: Catheterisation cardiac, Chest pain, Dyspnoea, Fatigue, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Shortness of breath, chest pain, fatigue. · Healthcare visit (other): Lung scan, chest X-ray, heart cath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Call 1 — Left Voicemail
2021-09-18
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Back pain, Chest pain, Lethargy, Sputum discoloured — 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, Outpatient clinic or urgent care clinic visit

Free text: Severe back and hip pain; chronic chest pain & thick yellowish-green phlegm; overall lethargic.

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Call 1 — Left Voicemail
2021-09-22
Call 2 — Left Voicemail
2021-09-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-20
Survey response — 12 months, dose 2
MedDRA: Office visit, Spinal operation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Spine surgery · Healthcare visit (other): Dr. Appts.

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
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

1 call case(s)
2022-03-23
Call 1 — Left Voicemail
2022-09-15
Dose 3 — Pfizer-BioNTech
2022-09-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-09-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-10-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-10-27
Survey response — day 42, dose 3
MedDRA: Abdominal discomfort, Chest pain, Diarrhoea, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Chest pains, stomach discomfort/diarrhea, fatigue

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech
3	2022-09-15	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Pain in my jaws/teeth

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Insomnia

2021-03-25

Systemic reaction (other): Learned this morning, I tested positive for Covid.

2021-03-26

Systemic reaction (other): Learned yesterday I tested positive for Covid; pain in both jaws

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): I tested positive for Covid on March 24

Release 7 — day 21, dose 2

2021-04-10

Symptoms: Fatigue, shortness of breath, dizziness.

Release 7 — day 28, dose 2

2021-04-17

Symptoms: Light-headed, fogginess, fatigue, sleepy, chest pain, coughing up dark phlegm... Monday, will have heart catheterization to determine blockage & whether Stent needed.

Release 8 — day 42, dose 2

2021-05-01

Symptoms: Chronic symptoms, including lethargy fatigue dizziness sleepiness faint shortness of breath, and mild cough, mild chest pain.

Release 9 — 3 months, dose 2

2021-06-19

Symptoms: Shortness of breath, chest pain, fatigue.

Healthcare visit (other): Lung scan, chest X-ray, heart cath

Release 9 — 6 months, dose 2

2021-09-18

Symptoms: Severe back and hip pain; chronic chest pain & thick yellowish-green phlegm; overall lethargic.

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: Spine surgery

Healthcare visit (other): Dr. Appts.

Release 12 — day 42, dose 3

2022-10-27

Symptoms: Chest pains, stomach discomfort/diarrhea, fatigue

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	Catheterisation cardiac	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Pre-existing disease	✓	✓	✓
SD	Abdominal discomfort	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Spinal operation	·	·	✓
SD	Sputum discoloured	·	·	✓
SD	Syncope	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓
SRO	Toothache	✓	✓	✓

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