2X5-10714-20201

4 vaccinations 10 coded responses 46 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 029 / RI
Registered: 2021-04-20

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

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Pfizer-BioNTech
2021-04-20
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-18
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Nasal congestion, Nasopharyngitis, Paranasal sinus discomfort, SARS-CoV-2 test negative, Sinus pain — Feeling: Good

Free text: Had a cold. Stuffy nose, sinus pressure and pain, fatigue, cough. Daughter had same symptoms first and tested negative for Covid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Survey response — 6 months, dose 2
MedDRA: Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Fatigued, minor sore throat in the morning, congested nasal passages, for a couple of days.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Dose 3 — Moderna
2021-12-05
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

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

Adult check-in
2021-12-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-26
Survey response — day 21, dose 3
MedDRA: Nasal congestion — Feeling: Good

Free text: Stuffy nose but not runny.

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-09
Survey response — day 35, dose 3
MedDRA: Throat irritation — Feeling: Good

Free text: Irritated throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-06
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Survey response — 6 months, dose 3
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Dose 4 — Moderna
2022-10-28
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-10-29
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Free text: Glands in throat slightly swollen

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-04
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-11
Survey response — day 14, dose 4
MedDRA: Arthralgia, Fatigue, Myalgia, Nasal congestion, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Felt feverish, muscle ache, joint ache, fatigue, nasal and head congestion

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-25
Survey response — day 28, dose 4
MedDRA: Cough, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Good

Free text: Congestion, post nasal drip, cough

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-29
Survey response — 3 months, dose 4
MedDRA: Fatigue, Nasopharyngitis, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to work or attend school

MedDRA releases: 2024-11
2023-04-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech
3	2021-12-05	Moderna	No
4	2022-10-28	Moderna	No

Free text

Release 9 — day 35, dose 2

2021-06-15

Symptoms: Had a cold. Stuffy nose, sinus pressure and pain, fatigue, cough. Daughter had same symptoms first and tested negative for Covid.

Release 10 — 6 months, dose 2

2021-11-10

Symptoms: Fatigued, minor sore throat in the morning, congested nasal passages, for a couple of days.

Release 10 — day 21, dose 3

2021-12-26

Symptoms: Stuffy nose but not runny.

Release 10 — day 35, dose 3

2022-01-09

Symptoms: Irritated throat

Release 11 — 3 months, dose 3

2022-03-06

Symptoms: Sore throat

Release 11 — 6 months, dose 3

2022-06-07

Symptoms: Fatigue

Release 12 — days 1–6 daily, dose 4

2022-10-29

Systemic reaction (other): Glands in throat slightly swollen

Release 12 — day 14, dose 4

2022-11-11

Symptoms: Felt feverish, muscle ache, joint ache, fatigue, nasal and head congestion

Release 12 — day 28, dose 4

2022-11-25

Symptoms: Congestion, post nasal drip, cough

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	Arthralgia	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sinus pain	✓	✓	✓
SD	Throat irritation	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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