YYL-10911-11689

3 vaccinations 11 coded responses 38 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 554 / MN
Registered: 2021-04-01

Relationship: Self
Race: Multiracial
Ethnicity: 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

2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-01
Registered in v-safe
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Good · Fatigue or tiredness

Free text: Finger tips swole up unexpectedly while on a walk

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair

Free text: Itchiness, but no visible rash, on both my arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation — Feeling: Fair · Fever

Free text: I have not pooped in a couple days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Free text: Itching (elsewhere on body)

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

Adult check-in
2021-04-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-28
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Low-frequency tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

Free text: Hearing reduction in my left ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis — Feeling: Good · Muscle or body aches

Free text: Reduced hearing in one ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis — Feeling: Good · Muscle or body aches

Free text: Continuing hearing difficulties in one ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-05-05
Survey response — day 7, dose 2
MedDRA: Brain fog, Cognitive disorder — Feeling: Good · Be unable to work

Free text: Brain fog (light cognitive issues and mental blind spots)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Body temperature fluctuation, Muscle spasms — Feeling: Good · Be unable to do your normal daily activities

Free text: At one point I had a very sudden, and weeklong neck cramp. Around the same time, my body temps felt dissonant with the actual ambient temperature. (This was early July)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
Co-administered: Flu
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Myalgia — Feeling: Good

Free text: Some muscle soreness

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech
3	2021-10-29	Moderna	Flu

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Finger tips swole up unexpectedly while on a walk

2021-04-05

Systemic reaction (other): Itchiness, but no visible rash, on both my arms

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): I have not pooped in a couple days

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Itching (elsewhere on body)

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Low-frequency tinnitus

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Hearing reduction in my left ear

2021-05-01

Systemic reaction (other): Reduced hearing in one ear

2021-05-02

Systemic reaction (other): Continuing hearing difficulties in one ear

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Brain fog (light cognitive issues and mental blind spots)

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: At one point I had a very sudden, and weeklong neck cramp. Around the same time, my body temps felt dissonant with the actual ambient temperature. (This was early July)

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Some muscle soreness

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	Body temperature fluctuation	✓	·	✓
SD	Muscle spasms	✓	·	✓
SD	Myalgia	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Cognitive disorder	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Hypoacusis	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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