6XR-10995-44837

1 vaccination 9 coded responses 9 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 480 / MI
Registered: 2021-04-18

Relationship: Self
Race: Multiracial
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

2021-04-17
Dose 1 — Pfizer-BioNTech
2021-04-18
Registered in v-safe
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Parosmia — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Hyper sensitivity to smell and visual clarity. Hyper sensitive visibility

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Muscular weakness — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Weakness in my legs feeling as if my legs aren't working

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Neck pain, Sensory disturbance — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Nerve issues left forearm feels like something is tickling it. Right side of my neck feels very sore dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Mucsle pain is very intense

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Mouth swelling, Oropharyngeal pain, Swollen tongue — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Swollen mouth and tongue sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain, Myalgia, Pain in extremity — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Extreme muscle pain unknown reason back/shoulder forearm and feet extreme

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: This vaccine is a joke took my health down the toilet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 14, dose 1
MedDRA: Asthenia, Disturbance in attention, Dizziness, Lethargy, Myalgia, Nervous system disorder, Paraesthesia — Feeling: Poor

Free text: Extreme weakness dizziness lethargic having problems focusing muscle aches and pain nervous system issues random tingling neck arm hands feet. This issue should have stopped me from working but i can't.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-17
Survey response — 3 months, dose 1
MedDRA: Asthenia, Cardiac disorder, Fatigue, Headache, Malaise, Pain, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Your vaccine destroyed my health my heart is permanently damaged my whole body is weak tired constantly sore worst headaches I've ever had in my life. I feel like I'm literally dying every minute of every day.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-17	Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-18

Systemic reaction (other): Hyper sensitivity to smell and visual clarity. Hyper sensitive visibility

2021-04-19

Systemic reaction (other): Weakness in my legs feeling as if my legs aren't working

2021-04-20

Systemic reaction (other): Nerve issues left forearm feels like something is tickling it. Right side of my neck feels very sore dizzy

2021-04-21

Systemic reaction (other): Mucsle pain is very intense

2021-04-22

Systemic reaction (other): Swollen mouth and tongue sore throat

2021-04-23

Systemic reaction (other): Extreme muscle pain unknown reason back/shoulder forearm and feet extreme

Release 7 — day 7, dose 1

2021-04-24

Systemic reaction (other): This vaccine is a joke took my health down the toilet

Release 8 — day 14, dose 1

2021-05-01

Symptoms: Extreme weakness dizziness lethargic having problems focusing muscle aches and pain nervous system issues random tingling neck arm hands feet. This issue should have stopped me from working but i can't.

Release 9 — 3 months, dose 1

2021-07-17

Symptoms: Your vaccine destroyed my health my heart is permanently damaged my whole body is weak tired constantly sore worst headaches I've ever had in my life. I feel like I'm literally dying every minute of every day.

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	Cardiac disorder	·	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lethargy	✓	✓	✓
SD	Malaise	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nervous system disorder	✓	✓	✓
SD	Pain	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Arthralgia	✓	✓	○
SRO	Back pain	✓	✓	○
SRO	Dizziness	✓	✓	✓
SRO	Mouth swelling	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	○
SRO	Parosmia	✓	✓	✓
SRO	Sensory disturbance	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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