2A3-36734-72248

4 vaccinations 10 coded responses 51 check-ins 10 free-text entries 5 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 563 / MN
Registered: 2020-12-22

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

Timeline

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

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Survey response — day 7, dose 1
MedDRA: Anosmia — Feeling: Good

Free text: Decreased sense of smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-13
Dose 2 — Pfizer-BioNTech
2021-01-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache · Be unable to work

Adult check-in
2021-01-13
Report sent to call center — day 0, dose 2
Be unable to work

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Alcohol intolerance — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I had severe alcohol intolerance last night. I was extremely intoxicated after my evening cocktail last night, which I usually tolerate with no symptoms at all. In fact I can often tolerate quite a bit more than 1 cocktail before I feel a bit tipsy, but last night was a something that I havent experienced since college.Just thought Id mention it. Who knows if its cause and effect.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-10
Survey response — day 28, dose 2
MedDRA: Anosmia — Feeling: Good

Free text: Poor sense of smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 35, dose 2
MedDRA: Hyposmia — Feeling: Good · Be unable to work

Free text: Poor sense of smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 42, dose 2
MedDRA: Anosmia, Sinus disorder — Feeling: Good · Be unable to work

Free text: Sinus trouble, decreased sense of smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Dose 3 — Pfizer-BioNTech
2021-10-05
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, 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
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-26
Survey response — day 21, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: Sinus trouble

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — day 28, dose 3
MedDRA: Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Terrible sinus trouble

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 35, dose 3
MedDRA: Anosmia — Feeling: Fair

Free text: Lost sense of smell

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 42, dose 3
MedDRA: Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Terrible sinus trouble.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-17
Call 1 — Left Voicemail
2022-01-04
Survey response — 3 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: COVID 19

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-13
Call 1 — Left Voicemail
2022-04-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Dose 4 — Pfizer-BioNTech
2022-09-30
Health check-in — days 1–6 daily, dose 4
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
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · 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
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-06
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2022-10-13
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-01
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-13	Pfizer-BioNTech
3	2021-10-05	Pfizer-BioNTech	No
4	2022-09-29	Pfizer-BioNTech	No

Call center

5 call center cases

2 unsuccessful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 7, dose 1

2020-12-29

Systemic reaction (other): Decreased sense of smell

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): I had severe alcohol intolerance last night. I was extremely intoxicated after my evening cocktail last night, which I usually tolerate with no symptoms at all. In fact I can often tolerate quite a bit more than 1 cocktail before I feel a bit tipsy, but last night was a something that I havent experienced since college.Just thought Id mention it. Who knows if its cause and effect.

Release 4 — day 28, dose 2

2021-02-10

Symptoms: Poor sense of smell

Release 4 — day 35, dose 2

2021-02-17

Symptoms: Poor sense of smell

Release 4 — day 42, dose 2

2021-02-24

Symptoms: Sinus trouble, decreased sense of smell

Release 10 — day 21, dose 3

2021-10-26

Symptoms: Sinus trouble

Release 10 — day 28, dose 3

2021-11-02

Symptoms: Terrible sinus trouble

Release 10 — day 35, dose 3

2021-11-09

Symptoms: Lost sense of smell

Release 10 — day 42, dose 3

2021-11-16

Symptoms: Terrible sinus trouble.

Release 10 — 3 months, dose 3

2022-01-04

Symptoms: COVID 19

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	Anosmia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Hyposmia	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Alcohol intolerance	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Hyposmia	○	○	○

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