2ZE-14311-32387

3 vaccinations 10 coded responses 32 check-ins 10 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 852 / AZ
Registered: 2020-12-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

N2T-19414-39854 Child or adolescent in my care · Female · 2021-11-06

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2020-12-26
Registered in v-safe
2020-12-26
Dose 1 — Pfizer-BioNTech
2020-12-26
Survey response — day 0, dose 1
MedDRA: Asthma, COVID-19, Dyspnoea exertional, Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: I had COVID-19 on 11/18/2020. Still tired with SOB on exertion. Also have had asthma flare x 1 week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Wheezing — Feeling: Good · Site: Pain

Free text: Wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 14, dose 2
MedDRA: Asthma, Hypersensitivity, Pre-existing disease — Feeling: Good

Free text: My asthma is acting up along with my allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 35, dose 2
MedDRA: Asthma, Hypersensitivity, Pre-existing disease — Feeling: Fair

Free text: My asthma is flaring and my allergies are too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Temps to 102.5 day after Pfizer #3 and 101 2nd day after and all same sx.as above

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-15
Survey response — day 14, dose 3
MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening focus and increased fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — day 21, dose 3
MedDRA: Brain fog, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: More fatigue and brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-12
Survey response — day 42, dose 3
MedDRA: Fatigue, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, focus

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Exposure to SARS-CoV-2, Oropharyngeal pain, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend school

Free text: Sore throat. Exposed to someone with COVID early this week. Awaiting PCR test from yest

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No

Free text

Release 1 — day 0, dose 1

2020-12-26

Systemic reaction (other): I had COVID-19 on 11/18/2020. Still tired with SOB on exertion. Also have had asthma flare x 1 week

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Wheezing

Release 3 — day 14, dose 2

2021-02-03

Symptoms: My asthma is acting up along with my allergies.

Release 4 — day 35, dose 2

2021-02-24

Symptoms: My asthma is flaring and my allergies are too.

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Temps to 102.5 day after Pfizer #3 and 101 2nd day after and all same sx.as above

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Worsening focus and increased fatigue

Release 10 — day 21, dose 3

2021-10-22

Symptoms: More fatigue and brain fog

Release 10 — day 28, dose 3

2021-10-29

Symptoms: Fatigue

Release 10 — day 42, dose 3

2021-11-12

Symptoms: Fatigue, focus

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Sore throat. Exposed to someone with COVID early this week. Awaiting PCR test from yest

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	Asthma	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Wheezing	✓	✓	✓

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