2XX-14120-88862

5 vaccinations 10 coded responses 37 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 925 / CA
Registered: 2021-02-11

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-30
Dose 1 — Pfizer-BioNTech
2021-02-11
Registered in v-safe
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-27
Dose 2 — Pfizer-BioNTech
2021-05-01
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Pain, Unevaluable event — Feeling: Poor · 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: Symptoms: Lot of body ache - arthritis type but generalize · Healthcare visit (other): I have an appointment with my primary Doctor this coming week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
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 · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-12
Survey response — day 14, dose 3
MedDRA: Dizziness, Unevaluable event, Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dizziness like a sudden vertigo. Have an appointment with Doctor. · Healthcare visit (other): Will have appointment with primary care doctor

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-14
Call 1 — Could Not Reach Participant
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-19
Call 2 — Could Not Reach Participant
2021-10-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-04
Survey response — day 35, dose 3
MedDRA: Influenza like illness, Muscle spasms, Nasopharyngitis, Pain, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: I feel like coming dow with a flu or cold sometimes with general body ache and sneezing running nose. Also muscle spams..and then one day later is gone.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Eye irritation, Nasopharyngitis, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe body aches that lasted a couple of days and shortnes of breath. Felling like coming down with a cold as a matter of fact right now having sore throat, burning eyes and some body ache.

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — day 7, dose 4
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-26
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-03
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-10
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-17
Health check-in — day 42, dose 4
Feeling: Fair

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

Adult check-in
2022-10-06
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-10-13
Dose 5 — Pfizer-BioNTech
2022-10-16
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-10-22
Health check-in — day 7, dose 5
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-10-28
Survey response — day 14, dose 5
MedDRA: Dyspnoea — Feeling: Fair

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Survey response — day 21, dose 5
MedDRA: Asthenia, Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath, weak/ tired

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-24
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-13
Survey response — 3 months, dose 5
MedDRA: Dizziness exertional — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-13
Survey response — 6 months, dose 5
MedDRA: Dizziness, Headache — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-27	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-05	Pfizer-BioNTech	No
5	2022-10-13	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Lot of body ache - arthritis type but generalize

Healthcare visit (other): I have an appointment with my primary Doctor this coming week

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Dizziness like a sudden vertigo. Have an appointment with Doctor.

Healthcare visit (other): Will have appointment with primary care doctor

Release 10 — day 35, dose 3

2021-11-04

Symptoms: I feel like coming dow with a flu or cold sometimes with general body ache and sneezing running nose. Also muscle spams..and then one day later is gone.

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: Severe body aches that lasted a couple of days and shortnes of breath. Felling like coming down with a cold as a matter of fact right now having sore throat, burning eyes and some body ache.

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): Dizziness

Release 12 — days 1–6 daily, dose 5

2022-10-16

Systemic reaction (other): Dizziness

Release 12 — day 14, dose 5

2022-10-28

Symptoms: Shortness of breath

Release 12 — day 21, dose 5

2022-11-03

Symptoms: Shortness of breath, weak/ tired

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
HCVO	Unevaluable event	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Dizziness	·	·	✓
SD	Dizziness exertional	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Eye irritation	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SD	Vertigo	·	·	✓
SRO	Dizziness	·	·	✓

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