Y3M-20895-23378

3 vaccinations 10 coded responses 36 check-ins 7 free-text entries 1 call case

Sex: Male
Age at first dose: 31-35
ZIP prefix: 105 / NY
Registered: 2021-02-12

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Pfizer-BioNTech
2021-02-12
Survey response — day 0, dose 1
MedDRA: Abdominal pain, Arthralgia, Chills, Diarrhoea, Dizziness, Fatigue, Headache, Myalgia, Nausea, Oropharyngeal pain, Pain, Pain in extremity, Panic attack, Rhinorrhoea, Vomiting — Feeling: Fair · Headache, Muscle or body aches

Free text: Before and unrelated to vaccine I regularly experience Chills Headache Joint pains Muscle or body aches Fatigue or tiredness Nausea Vomiting Diarrhea Abdominal pain (milkfat intolerant irital bowl syndrome). Also before vaccine I regularly get dissy hypoglycemic light headed and have panicke attacks. Also unrelated to vaccine i live in a homeless shelter and am constantly exposed to strong second hand smoke From unfiltered roll your one cigarettes and other drugs causing soar throat something and runny nose. The survey has an * but no corresponding note. There should be an option to disclose that symptoms are regular chronic symptoms probably unrelated to vaccine. Also there should be an option to compare symptoms to other past vaccines like the flue shot. Anyway possibly related to the vaccine my left top leg opposite the right injection arm is mildly sore like that mild muscle pain I feel in my arms when trying to thread a needle I've felt similarly mild soar last time I had flue shot. There should be a descriptive guide on how to consistently answer these questions and what to do about symptoms one regularly has regardless of vaccine. How am I feeling today. Well I'm happy I got a vaccine. Dissy because I don't have arbitrary access to food and didn't want eat drink at vaccination site. Panic attack because that's just me and yah my leg is a little soar but that's not too unusual for me,. I'll see how it feels tomorrow. Thanks for the vaccine, allot of people/whole dorm rooms in my shelter are catching covid and word spreads only after they return from isolation and the shelter ist telling us anything not telling us how many if any had it in the last week and month. Also I went off-shelter for vaccine and I don't think anybody else in my shelter can travel to the place I got the vaccine. Have a good day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-19
Survey response — day 7, dose 1
MedDRA: Headache, Loss of personal independence in daily activities, Pre-existing disease — Feeling: Good · Headache

Free text: About 7 hours after vaccine for about a week I've had a constant weeklong headache different from any I've experienced before. It got worse the day after and day after that and started to get better yesterday and today. I didn't have it today for the whole day. For the whole week the headache didn't go away nor get better when I ate drank sugar and water. Before the vaccine I would sometimes have headaches that are a bit worse but they go away when I have sugar and water and sleep so I can manage them when I need to(my normal headaches). I listed the vax headache s as mild because I have had worse headaches but this one weeklong covidvax headache wouldn't go away with food and drink and I couldn't get rid of the headache when I needed to do I did avoid and cancel meeting so It had impacted my activities. I expected the headaches for a day or two on the second dose not expecting a week long headache on the first. I would recommend the standard not driving nor operating heavy machinery for the week long headache and avoiding things you need to think clearly for for the week. It's a bit conserning that the Vaccine can have worse longer side effects than a mild case of covid(thought better antibodies), though I'm living in a homeless shelter with communal living so I don't want to spread it anybody. I also becose of the pandemic haven't been able to meet with the people I need to help me and none of the opwdd facility would take new people so I've been trapped in the shelter for a whole year. But yeah the vax headache this last week have impacted my ability to do daily activities thought not particularly today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Pfizer-BioNTech
2021-03-05
Survey response — day 0, dose 2
MedDRA: Exposure to contaminated air, Headache, Loss of personal independence in daily activities, Pain in extremity, Reaction to previous exposure to any vaccine, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Good · Headache

Free text: Headache starts about 3 hours after 2nd dose shot starting to get worse as I write this (last time 1st dose headache started about 7 hours after and lasted a week, milder in 2nd week and mostly gone unnoticed 3rd week. First weeklong headache was bad enough I did avoid activities and cancel meetings. Webapp doesn't let us change prior responses but first dose first week headache was worse than reported and did impact my activitys). 3 hours later right arm hand has usual after Vax weird fealing ache. other flue shots have the weird fealing imideatly after shot. this mRNA Vax took several hours before usual after Vax fealing. I didn't feel anything the first 3 Hours today. (Unrelated to Vax but 2nd week Shelter 2nd hand unfiltered cigarettes and other drugs smoke caused runny nose sneezing and throat burning from 2nd hand drugs unrelated to vaccine. 3rd week smoke sneezing subsided)(Injection clinic EMR had first name misspelled with 2 (b)(6) instead of one, told them to correct)(Vaccination card has correct spelling penned in but doesn't have patient/medical/IIS number is blank)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Sensitive skin — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: today sensitive skin (felt this last time I had flu). Headache not as bad today as expected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good

Free text: Fealing alot better today. Verry minimal headache so I'm not reporting that today. I did have a headache yesterday and other symptoms Yesterday. I got some good sleep and found a more reliable sugar source. I was expecting bad headache for 2nd Shot but instead had moderate headaches for the first shot for the first week and verry mild headache today. Anyway the shelter I'm staying at last Friday finally started to proactively sign people up for a vaccine supposedly J&J&J today but moved to tomorrow Monday. Anyway I was talking to someone on supervised release who caught covid in January 2021 and wants the Vax (His entire room caught covid and assuming the entire room are sex offenders under supervision) (b)(6) supervisor told them NOT to sign up for vaccine until 90+30 days after they got covid (90 days after recovery). Anyway I'm concerned that Law enforcement are telling/Threatening/Stopping people in congragated living NOT to get the 2P Prefusion stablelized Vaccine. My understanding was Due to vaccine shortage Low priority people who don't live in congragated living and already had covid could *voluntarily* defer their shot for 90 days after recovering from covid so other higher priority can get it first but they are still *eligible* 14 days after recovery. Their are allot of vaccine sceptic in the shelter and 2P stablelized Shelter Localized Heard Imunity benefits everyone. Especially people who want the shot and had covid in congragated settings should get one JJJ shot as their is no current procedure for only one modRNA Shot. Defering vax is Voluntarily and Law enforcement shouldn't be interfering in congragated living vaccine Deployment for high exposure homeless people. If Medical Professionals or Health Department choose to Prioritize/deprioritze eligible people on standby for more flexible deployment that is who should decide not LEOs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Didn't have as much easy access to sugar and got verry Mild headache back. I think the vaccine rased matabolism and sugar needs. becose I'm homeless I don't control what, how much, nor when I eat so vaccine rasing matabolism a small amount of sugar didn't fix headache. Also health department gave the JJJ one shot to the other homeless residents today who signed up. I'm concerned becose their is no regulations yet to give a 2nd dose of any of the vaccines to people people in congragated living who got the JJJ. And 2nd dose is important for local heard Imunity especially with lots of people refusing the vaccine. (I got pzizer bc I asked about Vax before JJJ was approved and got the Vax outside the shelter)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headache mostly goes away as long as I am constantly preemptively sipping a little sugar and at first sign of headache. Was not this sensitive before Vaccine nor 3rd week after first dose. Normally before Vax I could have a small drink after I got a headache and it would soon clear up. After Vax small drink after headache not enough nor larger less frequent sugar doesn't last nor fix.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2023-02-27
Dose 3 — Moderna
2023-02-27
Survey response — day 0, dose 3
MedDRA: Feeling hot — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-02-28
Survey response — days 1–6 daily, dose 3
MedDRA: Pain of skin — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-03-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2023-03-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2023-03-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2023-03-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2023-03-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2023-03-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2023-03-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2023-03-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2023-04-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2023-05-29
Survey response — 3 months, dose 3
MedDRA: Immunisation reaction, Pain in extremity, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-29
Call case (no matching report) — Successful
Not applicable - Accidental Reporting
2023-05-30
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Pfizer-BioNTech
2	2021-03-05	Pfizer-BioNTech
3	2023-02-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2023-05-29	Successful 2023-05-30	Not applicable - Accidental Reporting

Free text

Release 4 — day 0, dose 1

2021-02-12

Systemic reaction (other): Before and unrelated to vaccine I regularly experience Chills Headache Joint pains Muscle or body aches Fatigue or tiredness Nausea Vomiting Diarrhea Abdominal pain (milkfat intolerant irital bowl syndrome). Also before vaccine I regularly get dissy hypoglycemic light headed and have panicke attacks. Also unrelated to vaccine i live in a homeless shelter and am constantly exposed to strong second hand smoke From unfiltered roll your one cigarettes and other drugs causing soar throat something and runny nose. The survey has an * but no corresponding note. There should be an option to disclose that symptoms are regular chronic symptoms probably unrelated to vaccine. Also there should be an option to compare symptoms to other past vaccines like the flue shot. Anyway possibly related to the vaccine my left top leg opposite the right injection arm is mildly sore like that mild muscle pain I feel in my arms when trying to thread a needle I've felt similarly mild soar last time I had flue shot. There should be a descriptive guide on how to consistently answer these questions and what to do about symptoms one regularly has regardless of vaccine. How am I feeling today. Well I'm happy I got a vaccine. Dissy because I don't have arbitrary access to food and didn't want eat drink at vaccination site. Panic attack because that's just me and yah my leg is a little soar but that's not too unusual for me,. I'll see how it feels tomorrow. Thanks for the vaccine, allot of people/whole dorm rooms in my shelter are catching covid and word spreads only after they return from isolation and the shelter ist telling us anything not telling us how many if any had it in the last week and month. Also I went off-shelter for vaccine and I don't think anybody else in my shelter can travel to the place I got the vaccine. Have a good day.

Release 4 — day 7, dose 1

2021-02-19

Systemic reaction (other): About 7 hours after vaccine for about a week I've had a constant weeklong headache different from any I've experienced before. It got worse the day after and day after that and started to get better yesterday and today. I didn't have it today for the whole day. For the whole week the headache didn't go away nor get better when I ate drank sugar and water. Before the vaccine I would sometimes have headaches that are a bit worse but they go away when I have sugar and water and sleep so I can manage them when I need to(my normal headaches). I listed the vax headache s as mild because I have had worse headaches but this one weeklong covidvax headache wouldn't go away with food and drink and I couldn't get rid of the headache when I needed to do I did avoid and cancel meeting so It had impacted my activities. I expected the headaches for a day or two on the second dose not expecting a week long headache on the first. I would recommend the standard not driving nor operating heavy machinery for the week long headache and avoiding things you need to think clearly for for the week. It's a bit conserning that the Vaccine can have worse longer side effects than a mild case of covid(thought better antibodies), though I'm living in a homeless shelter with communal living so I don't want to spread it anybody. I also becose of the pandemic haven't been able to meet with the people I need to help me and none of the opwdd facility would take new people so I've been trapped in the shelter for a whole year. But yeah the vax headache this last week have impacted my ability to do daily activities thought not particularly today.

Release 5 — day 0, dose 2

2021-03-05

Systemic reaction (other): Headache starts about 3 hours after 2nd dose shot starting to get worse as I write this (last time 1st dose headache started about 7 hours after and lasted a week, milder in 2nd week and mostly gone unnoticed 3rd week. First weeklong headache was bad enough I did avoid activities and cancel meetings. Webapp doesn't let us change prior responses but first dose first week headache was worse than reported and did impact my activitys). 3 hours later right arm hand has usual after Vax weird fealing ache. other flue shots have the weird fealing imideatly after shot. this mRNA Vax took several hours before usual after Vax fealing. I didn't feel anything the first 3 Hours today. (Unrelated to Vax but 2nd week Shelter 2nd hand unfiltered cigarettes and other drugs smoke caused runny nose sneezing and throat burning from 2nd hand drugs unrelated to vaccine. 3rd week smoke sneezing subsided)(Injection clinic EMR had first name misspelled with 2 (b)(6) instead of one, told them to correct)(Vaccination card has correct spelling penned in but doesn't have patient/medical/IIS number is blank)

redacted (b)(6)

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): today sensitive skin (felt this last time I had flu). Headache not as bad today as expected.

2021-03-07

Systemic reaction (other): Fealing alot better today. Verry minimal headache so I'm not reporting that today. I did have a headache yesterday and other symptoms Yesterday. I got some good sleep and found a more reliable sugar source. I was expecting bad headache for 2nd Shot but instead had moderate headaches for the first shot for the first week and verry mild headache today. Anyway the shelter I'm staying at last Friday finally started to proactively sign people up for a vaccine supposedly J&J&J today but moved to tomorrow Monday. Anyway I was talking to someone on supervised release who caught covid in January 2021 and wants the Vax (His entire room caught covid and assuming the entire room are sex offenders under supervision) (b)(6) supervisor told them NOT to sign up for vaccine until 90+30 days after they got covid (90 days after recovery). Anyway I'm concerned that Law enforcement are telling/Threatening/Stopping people in congragated living NOT to get the 2P Prefusion stablelized Vaccine. My understanding was Due to vaccine shortage Low priority people who don't live in congragated living and already had covid could *voluntarily* defer their shot for 90 days after recovering from covid so other higher priority can get it first but they are still *eligible* 14 days after recovery. Their are allot of vaccine sceptic in the shelter and 2P stablelized Shelter Localized Heard Imunity benefits everyone. Especially people who want the shot and had covid in congragated settings should get one JJJ shot as their is no current procedure for only one modRNA Shot. Defering vax is Voluntarily and Law enforcement shouldn't be interfering in congragated living vaccine Deployment for high exposure homeless people. If Medical Professionals or Health Department choose to Prioritize/deprioritze eligible people on standby for more flexible deployment that is who should decide not LEOs.

redacted (b)(6)

2021-03-08

Systemic reaction (other): Didn't have as much easy access to sugar and got verry Mild headache back. I think the vaccine rased matabolism and sugar needs. becose I'm homeless I don't control what, how much, nor when I eat so vaccine rasing matabolism a small amount of sugar didn't fix headache. Also health department gave the JJJ one shot to the other homeless residents today who signed up. I'm concerned becose their is no regulations yet to give a 2nd dose of any of the vaccines to people people in congragated living who got the JJJ. And 2nd dose is important for local heard Imunity especially with lots of people refusing the vaccine. (I got pzizer bc I asked about Vax before JJJ was approved and got the Vax outside the shelter)

2021-03-11

Systemic reaction (other): Headache mostly goes away as long as I am constantly preemptively sipping a little sugar and at first sign of headache. Was not this sensitive before Vaccine nor 3rd week after first dose. Normally before Vax I could have a small drink after I got a headache and it would soon clear up. After Vax small drink after headache not enough nor larger less frequent sugar doesn't last nor fix.

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	Unevaluable event	·	·	✓
SD	Immunisation reaction	·	·	✓
SD	Pain in extremity	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Exposure to contaminated air	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain of skin	·	·	✓
SRO	Panic attack	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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