26S-14441-95236

3 vaccinations 11 coded responses 32 check-ins 11 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 462 / IN
Registered: 2021-02-22

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-20
Dose 1 — Pfizer-BioNTech
2021-02-22
Registered in v-safe
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — day 7, dose 1
MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Fever · Chills, Fatigue or tiredness

Free text: Cold symptoms running nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-03-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lacrimation increased, Rhinorrhoea — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Muscle or body aches

Free text: Running nose, watery eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Hyperhidrosis — Feeling: Good · Fever · Chills

Free text: Mild sweating with chills but ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Everything is a ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: A little soreness at site when touched but other than that every thing is good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — day 14, dose 2
MedDRA: Back pain, Dyspnoea, Headache, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Running nose,right side of back hurt, shortness of breath at times when sitting down, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 21, dose 2
MedDRA: Headache, Productive cough, Rhinorrhoea — Feeling: Fair

Free text: Running nose, phlegm , slight headache,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 35, dose 2
MedDRA: Cough, Headache, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Running nose,cough,headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-13
Survey response — 3 months, dose 2
MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nose still runs, headaches, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-13
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold like feeling

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fever · Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Headache, Pain, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Nose running , achy,headache.other than that,doing ok.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-03
Call 1 — Left Voicemail
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-27

Systemic reaction (other): Cold symptoms running nose

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Running nose, watery eyes

2021-03-16

Systemic reaction (other): Mild sweating with chills but ok

2021-03-17

Systemic reaction (other): Everything is a ok

2021-03-19

Systemic reaction (other): A little soreness at site when touched but other than that every thing is good

Release 6 — day 14, dose 2

2021-03-28

Symptoms: Running nose,right side of back hurt, shortness of breath at times when sitting down, headache

Release 6 — day 21, dose 2

2021-04-03

Symptoms: Running nose, phlegm , slight headache,

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Running nose,cough,headache

Release 9 — 3 months, dose 2

2021-06-13

Symptoms: Nose still runs, headaches, sore throat

Release 9 — 6 months, dose 2

2021-09-13

Symptoms: Cold like feeling

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Nose running , achy,headache.other than that,doing ok.

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	Back pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Productive cough	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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