32L-23323-51067

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

Sex: Male
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Pfizer-BioNTech
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Pfizer-BioNTech
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 21, dose 2
MedDRA: Myalgia — Feeling: Fair

Free text: Muscle aches/pain increasing somewhat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 28, dose 2
MedDRA: Bone pain, Fatigue, Myalgia — Feeling: Fair

Free text: Fatigue increase. Somewhat increased frequency of muscle & bone ache episodes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening fatigue, possibly due to preexisting heart condition.

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

Adult check-in
2021-11-18
Dose 3 — Pfizer-BioNTech
2022-02-06
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-09
Dose 4 — Pfizer-BioNTech
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Survey response — day 14, dose 4
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diahrea

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Survey response — day 21, dose 4
MedDRA: Haematological infection, Pre-existing disease, Skin infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Skin infections worse than past problem. Proceeded to blood - responding to IV antibiotics.

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-06-01
Call 1 — Left Voicemail
2022-06-01
Call successful
Not applicable - Accidental Reporting
2022-06-06
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-13
Survey response — day 35, dose 4
MedDRA: Diarrhoea — Feeling: Fair

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-08
Survey response — 3 months, dose 4
MedDRA: Sepsis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Sepsis

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-08-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-28
Dose 5 — Pfizer-BioNTech
2022-10-06
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-03
Survey response — day 35, dose 5
MedDRA: Blister, Pain, Pain in extremity, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Overall torso/arms covered by painful blister-like lesions. No medical diagnosis as yet . · Healthcare visit (other): Noneas yet

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Report sent to call center — day 35, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-03
Call 1 — Left Voicemail
2022-11-10
Survey response — day 42, dose 5
MedDRA: Body temperature increased, Skin lesion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persistent fever 99 to 100+ deg F. Continued wide spread skin lesions

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Survey response — 3 months, dose 5
MedDRA: Living in residential institution, Respiratory syncytial virus infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: RSV now ok · Healthcare visit (other): Skilled nursing facility

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-29
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Pfizer-BioNTech
2	2021-02-03	Pfizer-BioNTech
3	2021-11-18	Pfizer-BioNTech	No
4	2022-05-09	Pfizer-BioNTech	No
5	2022-09-28	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — day 21, dose 2

2021-02-24

Symptoms: Muscle aches/pain increasing somewhat.

Release 5 — day 28, dose 2

2021-03-03

Symptoms: Fatigue increase. Somewhat increased frequency of muscle & bone ache episodes.

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Worsening fatigue, possibly due to preexisting heart condition.

Release 11 — day 14, dose 4

2022-05-23

Symptoms: Diahrea

Release 11 — day 21, dose 4

2022-05-30

Symptoms: Skin infections worse than past problem. Proceeded to blood - responding to IV antibiotics.

Release 12 — day 35, dose 4

2022-06-13

Symptoms: Diarrhea

Release 12 — 3 months, dose 4

2022-08-08

Symptoms: Sepsis

Release 12 — day 35, dose 5

2022-11-03

Symptoms: Overall torso/arms covered by painful blister-like lesions. No medical diagnosis as yet .

Healthcare visit (other): Noneas yet

Release 12 — day 42, dose 5

2022-11-10

Symptoms: Persistent fever 99 to 100+ deg F. Continued wide spread skin lesions

Release 12 — 3 months, dose 5

2022-12-28

Symptoms: RSV now ok

Healthcare visit (other): Skilled nursing facility

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	Living in residential institution	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Blister	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Bone pain	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Haematological infection	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Sepsis	·	·	✓
SD	Skin infection	·	·	✓
SD	Skin lesion	·	·	✓

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