6UU-92856-32143

3 vaccinations 8 coded responses 20 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 488 / MI
Registered: 2021-06-15

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

2021-06-15
Registered in v-safe
2021-06-15
Dose 1 — Pfizer-BioNTech
2021-06-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting

Adult check-in
2021-06-19
Survey response — days 1–6 daily, dose 1
MedDRA: Anosmia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Loss of smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-06-21
Survey response — days 1–6 daily, dose 1
MedDRA: Anosmia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Loss of smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-06
Dose 2 — Pfizer-BioNTech
2021-07-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-07-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-07-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-07-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-07-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-07-14
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Good · Muscle or body aches, Nausea

Free text: Pain and numbness in legs and feet

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-20
Survey response — day 14, dose 2
MedDRA: Hypoaesthesia, Muscular weakness, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Been having progressively worse numbness and tingling in my feet and legs for the last few days. My legs and feet feel very weak as well.

MedDRA releases: 2024-11 · check-in free text available
2021-07-27
Survey response — day 21, dose 2
MedDRA: Hypoaesthesia, Muscular weakness — Feeling: Poor · 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: Numbness and weakness of feet and legs getting worse almost daily

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Survey response — day 28, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continuing worsening numbness and tingling of my legs and hands.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Call 2 — Left Voicemail
2021-08-10
Survey response — day 35, dose 2
MedDRA: Asthenia, Hypoaesthesia, Paraesthesia — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Increasing numbness and tingling with loss of strength in legs and arms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 2 — Left Voicemail
2022-01-10
Dose 3 — Moderna
2022-07-13
Survey response — 6 months, dose 3
MedDRA: Guillain-Barre syndrome — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Have had another episode of guilliam barre syndrome after my booster in January.

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-15	Pfizer-BioNTech
2	2021-07-06	Pfizer-BioNTech	No
3	2022-01-10	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-19

Systemic reaction (other): Loss of smell

2021-06-21

Systemic reaction (other): Loss of smell

Release 9 — day 7, dose 2

2021-07-14

Systemic reaction (other): Pain and numbness in legs and feet

Release 9 — day 14, dose 2

2021-07-20

Symptoms: Been having progressively worse numbness and tingling in my feet and legs for the last few days. My legs and feet feel very weak as well.

Release 9 — day 21, dose 2

2021-07-27

Symptoms: Numbness and weakness of feet and legs getting worse almost daily

Release 9 — day 28, dose 2

2021-08-03

Symptoms: Continuing worsening numbness and tingling of my legs and hands.

Release 9 — day 35, dose 2

2021-08-10

Symptoms: Increasing numbness and tingling with loss of strength in legs and arms

Release 12 — 6 months, dose 3

2022-07-13

Symptoms: Have had another episode of guilliam barre syndrome after my booster in January.

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	Asthenia	✓	·	✓
SD	Guillain-Barre syndrome	·	·	✓
SD	Hypoaesthesia	✓	·	✓
SD	Muscular weakness	✓	·	✓
SD	Paraesthesia	✓	·	✓
SRO	Anosmia	✓	✓	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Pain in extremity	✓	·	✓

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