2W6-16482-17865

4 vaccinations 9 coded responses 35 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 981 / WA
Registered: 2021-01-23

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Pfizer-BioNTech
2021-01-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Tonsillar hypertrophy — Feeling: Fair · Site: Pain

Free text: Swollen lymph nodes left side of neck behind the ear and in the top of the mouth on the left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal discomfort, Pharyngeal swelling — Feeling: Good · Site: Swelling

Free text: Node in left side of throat swelling and sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Pfizer-BioNTech
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Was tired for 3 or 4 days after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Ear swelling, Swelling — Feeling: Fair · Site: Pain, Swelling · Fever

Free text: Swelling behind my ears and neck at the base of my skull

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — day 7, dose 3
MedDRA: Ear swelling, Swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Swelling behind ears and at the top of the neck.

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-23
Survey response — day 28, dose 3
MedDRA: Renal pain — Feeling: Good

Free text: Pain from kidneys

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — day 35, dose 3
MedDRA: Renal pain — Feeling: Good

Free text: Continuing to have kidney pain off and off

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — day 42, dose 3
MedDRA: Renal pain — Feeling: Good

Free text: On and off kidney pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-05-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-29
Survey response — 6 months, dose 4
MedDRA: Exposure to SARS-CoV-2, Fatigue, Malaise, Ophthalmic migraine, SARS-CoV-2 test negative, Visual impairment — 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, Emergency room or emergency department visit

Free text: Mid August I was exposed to Covid. Felt ill and extremely tired; Severe visual migraine for 2 1/2 days. Still troubled with vision issues. Never tested positive.

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-09-30
Call 1 — Left Voicemail
2023-04-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-15	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No
4	2022-03-31	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Swollen lymph nodes left side of neck behind the ear and in the top of the mouth on the left side

2021-01-26

Systemic reaction (other): Node in left side of throat swelling and sore

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Was tired for 3 or 4 days after shot

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Swelling behind my ears and neck at the base of my skull

Release 9 — day 7, dose 3

2021-10-02

Systemic reaction (other): Swelling behind ears and at the top of the neck.

Release 10 — day 28, dose 3

2021-10-23

Symptoms: Pain from kidneys

Release 10 — day 35, dose 3

2021-10-30

Symptoms: Continuing to have kidney pain off and off

Release 10 — day 42, dose 3

2021-11-06

Symptoms: On and off kidney pain.

Release 12 — 6 months, dose 4

2022-09-29

Symptoms: Mid August I was exposed to Covid. Felt ill and extremely tired; Severe visual migraine for 2 1/2 days. Still troubled with vision issues. Never tested positive.

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	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Malaise	·	·	✓
SD	Ophthalmic migraine	·	·	✓
SD	Renal pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Ear swelling	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Swelling	·	·	✓
SRO	Tonsillar hypertrophy	✓	✓	✓

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