YVQ-17152-44169

3 vaccinations 19 coded responses 37 check-ins 19 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 024 / MA
Registered: 2021-02-02

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

Registered dependents

D8X-23635-52957 Child or adolescent in my care · Male · 2021-11-17

A9C-18367-89719 Child or adolescent in my care · Male · 2022-01-28

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-02
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: wooziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia — Feeling: Good · Fatigue or tiredness

Free text: Indigestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia — Feeling: Fair · Fatigue or tiredness

Free text: Mild indigestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 7, dose 1
MedDRA: Dyspepsia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Indigestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-23
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Free text: Woozy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Clumsiness, Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Clumsy, woozy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Feeling abnormal — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Confusion/fogginess

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-09
Survey response — day 14, dose 2
MedDRA: Fatigue, Feeling abnormal, Inflammation, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Really bad cognitive fog, generalized inflammation and aching, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort — Feeling: Good · Be unable to do your normal daily activities

Free text: I had some GI upset and widespread aching for a couple days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Somnolence, Tremor — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Shaking, wooziness, sudden sleepiness

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Woozy

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Affective disorder, Flushing — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Flushing, mood abnormality

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-09
Survey response — day 7, dose 3
MedDRA: Abdominal discomfort, Breast tenderness, Dizziness, Insomnia — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Insomnia, severe breast tenderness, dizziness, GI upset

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Diarrhoea, Fatigue, Muscle spasms, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: A lot of digestive upset- diarrhea or cramping after meals. Some bouts of fatigue and immune symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — day 21, dose 3
MedDRA: Headache, Nausea, Premenstrual syndrome — Feeling: Poor · Be unable to do your normal daily activities

Free text: Intermittent nausea, headache. Worsened PMS symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 28, dose 3
MedDRA: Fatigue, Hormone level abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and hormone related symptoms worse than usual

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — day 35, dose 3
MedDRA: Frequent bowel movements, Gastrointestinal pain — Feeling: Fair

Free text: Bowel cramping / frequency

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — day 42, dose 3
MedDRA: Breast pain, Hormone level abnormal, Premenstrual syndrome — Feeling: Fair

Free text: Exacerbated hormonal symptoms (pms, breast pain)

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Bone pain, Condition aggravated, Fatigue, Pre-existing disease, Respiratory symptom — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, increased respiratory symptoms, increased dysautonomia symptoms, bone pain, joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech
3	2021-11-02	Moderna	No

Free text

Release 3 — day 0, dose 1

2021-02-02

Systemic reaction (other): wooziness

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Indigestion

2021-02-08

Systemic reaction (other): Mild indigestion

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): Indigestion

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): Woozy

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Clumsy, woozy

2021-02-26

Systemic reaction (other): Confusion/fogginess

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Really bad cognitive fog, generalized inflammation and aching, fatigue

Release 6 — day 35, dose 2

2021-03-30

Symptoms: I had some GI upset and widespread aching for a couple days.

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Shaking, wooziness, sudden sleepiness

2021-11-04

Systemic reaction (other): Woozy

2021-11-07

Systemic reaction (other): Flushing, mood abnormality

Release 10 — day 7, dose 3

2021-11-09

Systemic reaction (other): Insomnia, severe breast tenderness, dizziness, GI upset

Release 10 — day 14, dose 3

2021-11-16

Symptoms: A lot of digestive upset- diarrhea or cramping after meals. Some bouts of fatigue and immune symptoms

Release 10 — day 21, dose 3

2021-11-23

Symptoms: Intermittent nausea, headache. Worsened PMS symptoms

Release 10 — day 28, dose 3

2021-11-30

Symptoms: Fatigue and hormone related symptoms worse than usual

Release 10 — day 35, dose 3

2021-12-07

Symptoms: Bowel cramping / frequency

Release 10 — day 42, dose 3

2021-12-14

Symptoms: Exacerbated hormonal symptoms (pms, breast pain)

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Fatigue, increased respiratory symptoms, increased dysautonomia symptoms, bone pain, joint pain

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	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Bone pain	·	·	✓
SD	Breast pain	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Frequent bowel movements	·	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	·	·	✓
SD	Hormone level abnormal	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Premenstrual syndrome	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Affective disorder	·	·	✓
SRO	Breast tenderness	·	·	✓
SRO	Clumsiness	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flushing	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Somnolence	·	·	✓
SRO	Tremor	·	·	✓

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