6S7-20857-99651

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 974 / OR
Registered: 2021-03-02

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
Dose 1 — Pfizer-BioNTech
2021-03-02
Registered in v-safe
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Fracture, Office visit, Wrist fracture — Feeling: Poor · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Unrelated - I fractured my wrist · Healthcare visit (other): In person. Bloodwork. Could easily be pandemic isolation syndrome.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Depression, Fatigue, Iron deficiency, Office visit — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Minor fatigue, but Im a little iron deficient. · Healthcare visit (other): Actual office visit and blood test. Pandemic depression doesnt help.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

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
2021-03-22
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
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: Im tired but I also walked 5 miles this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Muscle or body aches

Free text: Mild fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: No

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: Stress — Feeling: Fair

Free text: Stress. Unrelated to the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Survey response — day 21, dose 2
MedDRA: Blood iron decreased, Fatigue, Ligament sprain — Feeling: Fair · Be unable to work

Free text: Fatigue - VERY low iron level and strained elbow. Dont think either is related to vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 28, dose 2
MedDRA: Anaemia, Brain fog, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Found out I have anemia. Wears me out and gives me brain fog. I dont think low iron is connected to the vaccine. Taking iron 2x daily and they say it could take up to 6 months to get my iron levels back to normal. I dont donate blood anymore. · Healthcare visit (other): Primary care physician.

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
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Call successful
Does not wish to fill out VAERS report
2021-06-19
Survey response — 3 months, dose 2
MedDRA: Brain fog, Clumsiness, Fatigue, Memory impairment, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Anemia - low iron. Led to fatigue, brain fog, memory issues and unintentional clumsiness (more than usual). I do NOT think its vaccine-related. For one thing, its been going on for too long.

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
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-25
Call 1 — Requested Callback
2021-06-28
Callback requested for
11:30AM ET
2021-06-29
Call 2 — Left Voicemail
2021-06-29
Call successful
Does not wish to fill out VAERS report
2021-08-23
Call 3 — Requested Callback
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-20
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Unrelated - I fractured my wrist

Healthcare visit (other): In person. Bloodwork. Could easily be pandemic isolation syndrome.

2021-03-05

Systemic reaction (other): Minor fatigue, but Im a little iron deficient.

Healthcare visit (other): Actual office visit and blood test. Pandemic depression doesnt help.

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Im tired but I also walked 5 miles this morning.

2021-03-24

Systemic reaction (other): Mild fatigue

2021-03-25

Systemic reaction (other): No

2021-03-26

Systemic reaction (other): Stress. Unrelated to the vaccination.

Release 7 — day 21, dose 2

2021-04-10

Symptoms: Fatigue - VERY low iron level and strained elbow. Dont think either is related to vaccination.

Release 7 — day 28, dose 2

2021-04-17

Symptoms: Found out I have anemia. Wears me out and gives me brain fog. I dont think low iron is connected to the vaccine. Taking iron 2x daily and they say it could take up to 6 months to get my iron levels back to normal. I dont donate blood anymore.

Healthcare visit (other): Primary care physician.

Release 9 — 3 months, dose 2

2021-06-19

Symptoms: Anemia - low iron. Led to fatigue, brain fog, memory issues and unintentional clumsiness (more than usual). I do NOT think its vaccine-related. For one thing, its been going on for too long.

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	Depression	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Wrist fracture	○	✓	○
SD	Anaemia	✓	✓	✓
SD	Blood iron decreased	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Clumsiness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Ligament sprain	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Fracture	○	✓	○
SRO	Iron deficiency	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Stress	✓	✓	✓
SRO	Wrist fracture	✓	·	✓

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