2JR-31511-95095

3 vaccinations 13 coded responses 31 check-ins 13 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 770 / TX
Registered: 2021-04-07

Relationship: Self
Race: White
Ethnicity: Not 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

2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-07
Registered in v-safe
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain, Itching · Muscle or body aches

Free text: pain at injection site did not start until 12 hours after.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Pain at injection site subsiding.

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

Free text: Mild pain at injection site persist after 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site discomfort — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Mild discomfort at injection site persists.

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

Free text: Mild soreness at injection site still hasn't gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort — Feeling: Good

Free text: Arm discomfort finally subsided after 6 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-27
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Mild pain at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discomfort — Feeling: Good

Free text: Injection site discomfort went away much faster this time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Dose 3 — Moderna
2021-11-17
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Good · Muscle or body aches

Free text: still mild injection site pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Muscle or body aches

Free text: Very minor injection site swelling & pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-24
Survey response — day 7, dose 3
MedDRA: Injection site discomfort — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Sudden minor discomfort at injection site.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-15
Survey response — day 28, dose 3
MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: It's probably just a cold, but I developed a congested runny nose, mild fever and sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — day 35, dose 3
MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a bad cold for about 10 days that was difficult to get over. Congestion and coughing. A Covid Test on the 7th day came back negative.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech
3	2021-11-17	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): pain at injection site did not start until 12 hours after.

2021-04-08

Systemic reaction (other): Pain at injection site subsiding.

2021-04-09

Systemic reaction (other): Mild pain at injection site persist after 3 days

2021-04-10

Systemic reaction (other): Mild discomfort at injection site persists.

2021-04-11

Systemic reaction (other): Mild soreness at injection site still hasn't gone away.

2021-04-12

Systemic reaction (other): Arm discomfort finally subsided after 6 days.

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Mild pain at injection site

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Injection site discomfort went away much faster this time.

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): still mild injection site pain.

2021-11-21

Systemic reaction (other): Very minor injection site swelling & pain.

Release 10 — day 7, dose 3

2021-11-24

Systemic reaction (other): Sudden minor discomfort at injection site.

Release 10 — day 28, dose 3

2021-12-15

Symptoms: It's probably just a cold, but I developed a congested runny nose, mild fever and sore throat.

Release 10 — day 35, dose 3

2021-12-22

Symptoms: I had a bad cold for about 10 days that was difficult to get over. Congestion and coughing. A Covid Test on the 7th day came back negative.

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	Cough	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	·	·	✓
SRO	Limb discomfort	✓	✓	✓

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