XVN-25628-04263

4 vaccinations 25 coded responses 49 check-ins 24 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 126 / NY
Registered: 2021-04-03

Relationship: Self
Race: White
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

2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-03
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Syncope — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — 7 day, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — 14 day, dose 1
MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-23
Survey response — 21 day, dose 1
MedDRA: Headache, Myalgia — Feeling: Poor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-24
Health check-in — 0 day, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Neck pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Night sweats, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Neck pain, Pruritus — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-01
Health check-in — 7 day, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Survey response — 14 day, dose 2
MedDRA: Palpitations — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-15
Health check-in — 21 day, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Health check-in — 28 day, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Health check-in — 35 day, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Health check-in — 42 day, dose 2
Feeling: Fair

Adult check-in
2021-07-26
Survey response — 3 month, dose 2
MedDRA: Ventricular extrasystoles — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-10-23
Health check-in — 6 month, dose 2
Feeling: Fair

Adult check-in
2021-12-20
Dose 3 — Pfizer-BioNTech
2021-12-20
Health check-in — 0 day, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Night sweats — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-26
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Migraine — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-12-27
Survey response — 7 day, dose 3
MedDRA: Migraine — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-01-03
Survey response — 14 day, dose 3
MedDRA: Dizziness — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-01-10
Survey response — 21 day, dose 3
MedDRA: Vitreous floaters — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-01-17
Survey response — 28 day, dose 3
MedDRA: Insomnia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-24
Survey response — 35 day, dose 3
MedDRA: Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-31
Health check-in — 42 day, dose 3
Feeling: Fair

Adult check-in
2022-03-21
Survey response — 3 month, dose 3
MedDRA: Visual impairment — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-06-20
Survey response — 6 month, dose 3
MedDRA: Photopsia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-11-10
Dose 4 — Pfizer-BioNTech
2022-11-15
Survey response — days 1–6 daily, dose 4
MedDRA: Headache, Pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-11-16
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Extrasystoles — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-11-18
Survey response — 7 day, dose 4
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-11-24
Health check-in — 14 day, dose 4
Feeling: Fair

Adult check-in
2022-12-01
Survey response — 21 day, dose 4
MedDRA: Brain fog — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-12-08
Survey response — 28 day, dose 4
MedDRA: Dizziness — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-12-15
Health check-in — 35 day, dose 4
Feeling: Fair

Adult check-in
2022-12-23
Survey response — 42 day, dose 4
MedDRA: Dizziness — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2023-02-09
Survey response — 3 month, dose 4
MedDRA: Dizziness — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2023-05-11
Health check-in — 6 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech
3	2021-12-20	Pfizer-BioNTech	No
4	2022-11-10	Pfizer-BioNTech	No

Free text

Release 6

Systemic reaction (other): Lightheadedness / Feeling Faint, about 6 hours after the first shot

Release 7

Symptoms: Very bad headache.

Symptoms: Muscle soreness, but could be related to new exercise activity the past few days. Also headache.

Release 8

Systemic reaction (other): Sleeplessness, neck pain

Systemic reaction (other): Neck pain, night sweats, tonsil pain

Systemic reaction (other): Some itching on face, neck pain, sleeplessness

Symptoms: Possible transient heart palpitations - though, I've had some before in the past.

Release 9

Symptoms: A significantly increasing number of pre-mature ventricular contractions. In the midst of seeing cardiologists about it, now.

Release 10

Systemic reaction (other): Night sweats

Systemic reaction (other): Dizziness

Systemic reaction (other): Dizziness, Two Migraines (I have had migraines this year, but having 2 in the same 24 hours is rare.)

Systemic reaction (other): Another migraine.

Symptoms: Dizziness.

Symptoms: Seemingly more floaters in vision than usual.

Symptoms: Insomnia

Release 11

Symptoms: General sleep issues.

Symptoms: Dark spot in right eye vision for past week.

Release 12

Symptoms: Momentary flashing on the outside of my left eye, for several weeks now.

Systemic reaction (other): Since it's a number of days since I got the shot, I wanted to mention that 12 hours after I got it, I was very achy for about 7 hours, followed by a headache.

Systemic reaction (other): Seeming brain fog, and heart skips.

Systemic reaction (other): Brain fog

Symptoms: Seeming brain fog, which had seemed to go away, but has returned a little.

Symptoms: Dizziness.

Symptoms: Feeling light headed.

Free-text releases are not linked to a specific 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	Brain fog	·	·	✓
SD	Dizziness	·	·	✓
SD	Headache	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Photopsia	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Ventricular extrasystoles	✓	·	✓
SD	Visual impairment	·	·	✓
SD	Vitreous floaters	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Extrasystoles	·	·	✓
SRO	Headache	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Migraine	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Syncope	✓	✓	✓

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