6WM-29183-60586

2 vaccinations 18 coded responses 20 check-ins 18 free-text entries 11 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 551 / MN
Registered: 2021-06-08

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-06-08
Registered in v-safe
2021-06-08
Dose 1 — Pfizer-BioNTech
2021-06-08
Survey response — day 0, dose 1
MedDRA: Condition aggravated, Gastrointestinal disorder, Muscle contractions involuntary, Office visit, Pain, Pre-existing disease, Unevaluable event — Feeling: Good · Abdominal pain · 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, Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): I think I have an (b)(6) from before the pandemic I got vaccinated today at the location my primary clinic used to be graffiti now it was kinda funny though. Now I have a new doctor who, I have no idea what he actually thinks is wrong he didn't say but sent me to a GI my video appointment isn't for months, I've been waiting years, I'm starting to get the wrong diagnosis and starting to have other complications. That's why I wanted to be vaccinated. The virus made an unacceptable situation worse. On the x-ray they didn't see anything but I wish someone would listen that didn't necessarily mean you can't have a hernia that moves when you aren't looking at it. I think it's a rare type that they aren't considering. Maybe it's an innie hernia from the force of my contraction dislocated the bowel inward towards more bowels and twisted them up. So it's not a hernia it's a dislocated bowel and I sure wish someone would believe me. This pain is not from the vaccine it is probably more painful than mild. · Healthcare visit (other): Considering er visit but every time I get the wrong diagnosis I get sick with another bill and then maybe after it I have to have surgery I feel

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — day 0, dose 1
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)
2021-06-10
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Dizziness, Neck pain, Pre-existing disease, Self-medication — Feeling: Fair · Joint pains

Free text: I took rose hips the night before the shot and I stayed hydrated drank Sprite cuz it reminded me of a clear formulation. When I didn't take supplements I got neck pain but I took L-lysine and feel better. I also have a lot of anxiety and lightheadedness I'm on 3 blood pressure meds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Unevaluable event — Feeling: Fair · Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I spent some time in a fairly uncomfortable ER and waiting room. It caused a lot of pain to my neck which I remember hurting after the vaccine. Tanya was hospitalized due to chronic nausea a few days after the vax, now has a lot more nausea meds. · Healthcare visit (other): Planning on seeing a chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Headache

Free text: The National Guards coming to my hometown? No fair! I wish to serve my country! My wife is chronically ill and consumes cannabis for her pain, anxiety, neurological problems, toxicity of pills, GI issues, tumor repression, entertainment, agorapho

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 14, dose 1
MedDRA: Chest pain, Fear, Pain, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain that feels like a problem with my hypothalamus, chest pain, fear. I've been dealing with problems for years I was first diagnosed with autoimmune thyroiditis around 2015, the coronavirus made it so I couldn't have surgeries or see the doctor. · Healthcare visit (other): Still need to schedule, meditation helps?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Call 1 — Left Voicemail
2021-06-29
Dose 2 — Pfizer-BioNTech
2021-06-29
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-30
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Medical counselling, Pre-existing disease, Telemedicine — Feeling: Fair · Site: Redness, Swelling · Fever · Headache · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): College anxiety, OCD · Healthcare visit (other): One doctor said I was too rude and one was on vacation. (b)(6) is kinda behind the time with telehealth. Public option needed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-07-01
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Free text: HEY HEY HEY HEY SMOKE WEED EVERYDAY!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: I need a more intensive primary care program

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-04
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Mental disorder — Feeling: Poor · Headache · Be unable to work or attend school

Free text: I don't like holidays or weekends I only like regular days doctors won't run tests, they take your money, school starts tomorrow I feel like having a nervous breakdown, can't relax, can only accomplish so much never get away from this headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Didn't take my lisinopril and feel pretty good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Survey response — day 7, dose 2
MedDRA: Office visit, Post procedural complication — Feeling: Fair · Headache · Be unable to work or attend school, 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: Systemic reaction (other): Dry socket where I had my tooth removed, infected nerve remnant throbbing · Healthcare visit (other): Brain specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — day 7, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call 2 — Left Voicemail
2021-07-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-20
Survey response — day 21, dose 2
MedDRA: Anxiety, Disturbance in attention, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Anxiety, poor concentration · Healthcare visit (other): Left a voicemail, waiting to speak with a receptionist

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
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)
2021-07-26
Call 2 — Left Voicemail
2021-07-27
Survey response — day 28, dose 2
MedDRA: Chest pain, Motion sickness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest pain, motion sickness · Healthcare visit (other): MyChart message, going to (b)(6) to get involved in SOLVE token want to make VR surgery training module for online pre-med students

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 2 — Could Not Reach Participant
2021-08-07
Survey response — day 35, dose 2
MedDRA: Anxiety, Exposure to SARS-CoV-2, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: College anxiety · Healthcare visit (other): MyChart message & a physical receptionist but I realized Pshych Recovery doesn't take UCARE, as far as being exposed to covid they should make a cool tattoo that has vaccines and a hidden QR code in it for people who hate vaccines but love tatto fest

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-09
Call 3 — Left Voicemail
2021-08-12
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Decreased appetite, Hernia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach pain, worsening occult hernia, slowly losing ability to eat as much

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-30
Survey response — 3 months, dose 2
MedDRA: Brainstem compression, Cough, Gastrointestinal pain, Headache, Hernia, Intestinal obstruction, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Persistent cough headache unknown etiology but some damage may have occurred, carpal tunnel of the brainstemOccult hernia w/ partial bowel occlusion, need outpatient surgery due to covid/family obligations, bowel pain at night, reduced ability to e · Healthcare visit (other): MRI ordered

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
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)
2021-12-03
Call 2 — Left Voicemail
2021-12-30
Survey response — 6 months, dose 2
MedDRA: Agitation, Headache, Hernia, Intracranial aneurysm, Pain — Feeling: Fair · 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

Free text: Symptoms: Persistent headache for six months like brain aneurysm, heard about coiling and ate chia seeds and quinoa started talking colloidal silver and some old royal Jelly helps with the pain but no straightforward diagnosis, occult hernia sending strokes br · Healthcare visit (other): They didn't take it seriously and I was very upset I want the authorities to allow walk in testing, barriers to access care

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-07-05
Survey response — 12 months, dose 2
MedDRA: Anxiety, Cholecystectomy, Cholelithiasis, Depression, Dizziness, Headache, Office visit, Panic attack, Substance use, Surgery — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Symptoms: Gallstones, Persistent Daily Headache R.H19 , cholecystectomy, severe anxiety, panic attacks, depression, altered neurochemical signaling genetic induced w/ modifying environmental factors & moderate drug use, family history of OCD, ADHD, Aspergers · Healthcare visit (other): Surgery, Neuropshych intake, MRI, DIZZINESS, affect

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-07-05
Call 1 — Left Voicemail
2022-07-06
Call 1 — Left Voicemail
2022-07-06
Call 2 — Left Voicemail
2022-07-06
Call 2 — Left Voicemail
2022-07-06
Call 1 — Left Voicemail
2022-07-06
Call 1 — Left Voicemail
2022-07-06
Call 1 — Left Voicemail
2022-07-06
Call 1 — Left Voicemail
2022-07-06
Call 1 — Left Voicemail
2022-07-06
Call 2 — Left Voicemail
2022-07-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-08	Pfizer-BioNTech
2	2021-06-29	Pfizer-BioNTech	No

Call center

11 call center cases

11 unsuccessful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-06-08

Systemic reaction (other): I think I have an (b)(6) from before the pandemic I got vaccinated today at the location my primary clinic used to be graffiti now it was kinda funny though. Now I have a new doctor who, I have no idea what he actually thinks is wrong he didn't say but sent me to a GI my video appointment isn't for months, I've been waiting years, I'm starting to get the wrong diagnosis and starting to have other complications. That's why I wanted to be vaccinated. The virus made an unacceptable situation worse. On the x-ray they didn't see anything but I wish someone would listen that didn't necessarily mean you can't have a hernia that moves when you aren't looking at it. I think it's a rare type that they aren't considering. Maybe it's an innie hernia from the force of my contraction dislocated the bowel inward towards more bowels and twisted them up. So it's not a hernia it's a dislocated bowel and I sure wish someone would believe me. This pain is not from the vaccine it is probably more painful than mild.

Healthcare visit (other): Considering er visit but every time I get the wrong diagnosis I get sick with another bill and then maybe after it I have to have surgery I feel

redacted (b)(6)

Release 9 — days 1–6 daily, dose 1

2021-06-10

Systemic reaction (other): I took rose hips the night before the shot and I stayed hydrated drank Sprite cuz it reminded me of a clear formulation. When I didn't take supplements I got neck pain but I took L-lysine and feel better. I also have a lot of anxiety and lightheadedness I'm on 3 blood pressure meds. cut off by CDC

2021-06-12

Systemic reaction (other): I spent some time in a fairly uncomfortable ER and waiting room. It caused a lot of pain to my neck which I remember hurting after the vaccine. Tanya was hospitalized due to chronic nausea a few days after the vax, now has a lot more nausea meds.

Healthcare visit (other): Planning on seeing a chiropractor

Release 9 — day 7, dose 1

2021-06-16

Systemic reaction (other): The National Guards coming to my hometown? No fair! I wish to serve my country! My wife is chronically ill and consumes cannabis for her pain, anxiety, neurological problems, toxicity of pills, GI issues, tumor repression, entertainment, agorapho

Release 9 — day 14, dose 1

2021-06-24

Symptoms: Pain that feels like a problem with my hypothalamus, chest pain, fear. I've been dealing with problems for years I was first diagnosed with autoimmune thyroiditis around 2015, the coronavirus made it so I couldn't have surgeries or see the doctor.

Healthcare visit (other): Still need to schedule, meditation helps?

Release 9 — days 1–6 daily, dose 2

2021-06-30

Systemic reaction (other): College anxiety, OCD

Healthcare visit (other): One doctor said I was too rude and one was on vacation. (b)(6) is kinda behind the time with telehealth. Public option needed

redacted (b)(6)

2021-07-01

Systemic reaction (other): HEY HEY HEY HEY SMOKE WEED EVERYDAY!

2021-07-02

Systemic reaction (other): I need a more intensive primary care program

2021-07-04

Systemic reaction (other): I don't like holidays or weekends I only like regular days doctors won't run tests, they take your money, school starts tomorrow I feel like having a nervous breakdown, can't relax, can only accomplish so much never get away from this headache

2021-07-05

Systemic reaction (other): Didn't take my lisinopril and feel pretty good

Release 9 — day 7, dose 2

2021-07-06

Systemic reaction (other): Dry socket where I had my tooth removed, infected nerve remnant throbbing

Healthcare visit (other): Brain specialist

Release 9 — day 21, dose 2

2021-07-20

Symptoms: Anxiety, poor concentration

Healthcare visit (other): Left a voicemail, waiting to speak with a receptionist

Release 9 — day 28, dose 2

2021-07-27

Symptoms: Chest pain, motion sickness

Healthcare visit (other): MyChart message, going to (b)(6) to get involved in SOLVE token want to make VR surgery training module for online pre-med students

redacted (b)(6)

Release 9 — day 35, dose 2

2021-08-07

Symptoms: College anxiety

Healthcare visit (other): MyChart message & a physical receptionist but I realized Pshych Recovery doesn't take UCARE, as far as being exposed to covid they should make a cool tattoo that has vaccines and a hidden QR code in it for people who hate vaccines but love tatto fest cut off by CDC

Release 9 — day 42, dose 2

2021-08-12

Symptoms: Stomach pain, worsening occult hernia, slowly losing ability to eat as much

Release 9 — 3 months, dose 2

2021-09-30

Symptoms: Persistent cough headache unknown etiology but some damage may have occurred, carpal tunnel of the brainstemOccult hernia w/ partial bowel occlusion, need outpatient surgery due to covid/family obligations, bowel pain at night, reduced ability to e cut off by CDC

Healthcare visit (other): MRI ordered

Release 10 — 6 months, dose 2

2021-12-30

Symptoms: Persistent headache for six months like brain aneurysm, heard about coiling and ate chia seeds and quinoa started talking colloidal silver and some old royal Jelly helps with the pain but no straightforward diagnosis, occult hernia sending strokes br cut off by CDC

Healthcare visit (other): They didn't take it seriously and I was very upset I want the authorities to allow walk in testing, barriers to access care

Release 12 — 12 months, dose 2

2022-07-05

Symptoms: Gallstones, Persistent Daily Headache R.H19 , cholecystectomy, severe anxiety, panic attacks, depression, altered neurochemical signaling genetic induced w/ modifying environmental factors & moderate drug use, family history of OCD, ADHD, Aspergers cut off by CDC

Healthcare visit (other): Surgery, Neuropshych intake, MRI, DIZZINESS, affect

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	Agitation	·	·	✓
HCVO	Dizziness	·	·	✓
HCVO	Exposure to SARS-CoV-2	✓	·	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Surgery	·	·	✓
HCVO	Telemedicine	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	✓	·	✓
SD	Anxiety	✓	·	✓
SD	Brainstem compression	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Cholecystectomy	·	·	✓
SD	Cholelithiasis	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	·	✓
SD	Depression	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Fear	✓	✓	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	·	·	✓
SD	Hernia	✓	·	✓
SD	Intestinal obstruction	·	·	✓
SD	Intracranial aneurysm	·	·	✓
SD	Motion sickness	✓	·	✓
SD	Pain	✓	✓	✓
SD	Panic attack	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Substance use	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Condition aggravated	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Gastrointestinal disorder	✓	·	✓
SRO	Mental disorder	✓	✓	✓
SRO	Muscle contractions involuntary	✓	·	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Office visit	✓	·	✓
SRO	Pain	✓	·	✓
SRO	Post procedural complication	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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