2ZB-51441-80916

5 vaccinations 11 coded responses 32 check-ins 10 free-text entries 3 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 956 / CA
Registered: 2021-02-05

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Pfizer-BioNTech
2021-02-26
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Feeling hot, Pyrexia — Feeling: Poor · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: feeling hot and having feverish dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Pain that emanates from the shot site down my arm and out into the rest of the same side of my body as the injection. vivid, feverish dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 21, dose 2
MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle pain on left side (same as that of the shot)... Neck, shoulders, back, lip, thigh, lower leg and foot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Fair

Free text: persistent rash on my left leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-11-24
Dose 3 — Pfizer-BioNTech
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-01
Survey response — 12 months, dose 2
MedDRA: Cough, Dizziness, Fatigue, Headache, Nausea, Oropharyngeal pain, Pain, Painful respiration, SARS-CoV-2 test — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Headache, body aches, slight cough, fatigue, Tight painful breathing, slightly sore throat, & nausea & dizziness. · Healthcare visit (other): COVID-19 test

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Pruritus, Self-medication — Feeling: Fair

Free text: full body itching that required taking benadryl

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Dehydration — Feeling: Fair · Site: Pain · Joint pains, Diarrhea

Free text: dehydration

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Pruritus — Feeling: Fair · Joint pains, Muscle or body aches

Free text: mild itching

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-09
Survey response — day 14, dose 4
MedDRA: Arthralgia, Hemiparesis — Feeling: Good · Be unable to do your normal daily activities

Free text: pain & weakness in elbow of vaccinated arm

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-21
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-20
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Physiotherapy — Feeling: Good · 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: Symptoms: Extreme joint pain in elbows, shoulders, hips, feet, neck, hands and fingers, and occasionally in wrists & ankles. · Healthcare visit (other): Physical Therapy

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Report sent to call center — 6 months, dose 4
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)
2022-10-21
Call 1 — Left Voicemail
2022-12-15
Dose 5 — Pfizer-BioNTech
2023-06-15
Survey response — 6 months, dose 5
MedDRA: Atrial fibrillation, Bundle branch block left, Coronary arterial stent insertion — 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 · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-06-15
Call case (no matching report) — Successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Pfizer-BioNTech
2	2021-02-26	Pfizer-BioNTech
3	2021-11-24	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No
5	2022-12-15	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): feeling hot and having feverish dreams

2021-02-28

Systemic reaction (other): Pain that emanates from the shot site down my arm and out into the rest of the same side of my body as the injection. vivid, feverish dreams

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Muscle pain on left side (same as that of the shot)... Neck, shoulders, back, lip, thigh, lower leg and foot.

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: persistent rash on my left leg.

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: Headache, body aches, slight cough, fatigue, Tight painful breathing, slightly sore throat, & nausea & dizziness.

Healthcare visit (other): COVID-19 test

Release 11 — days 1–6 daily, dose 4

2022-04-22

Systemic reaction (other): full body itching that required taking benadryl

2022-04-23

Systemic reaction (other): dehydration

2022-04-25

Systemic reaction (other): mild itching

Release 11 — day 14, dose 4

2022-05-09

Symptoms: pain & weakness in elbow of vaccinated arm

Release 12 — 6 months, dose 4

2022-10-20

Symptoms: Extreme joint pain in elbows, shoulders, hips, feet, neck, hands and fingers, and occasionally in wrists & ankles.

Healthcare visit (other): Physical Therapy

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	Physiotherapy	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Arthralgia	·	·	✓
SD	Atrial fibrillation	·	·	✓
SD	Bundle branch block left	·	·	✓
SD	Coronary arterial stent insertion	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hemiparesis	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Painful respiration	·	·	✓
SD	Rash	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Dehydration	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	·	·	✓

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