33S-17570-54758

3 vaccinations 8 coded responses 20 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 074 / NJ
Registered: 2020-12-18

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

2020-12-16
Dose 1 — Pfizer-BioNTech
2020-12-18
Registered in v-safe
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Nausea

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-23
Health check-in — day 7, dose 1
Feeling: Good · Nausea

Adult check-in
2020-12-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Hypotension, Syncope — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work

Free text: Hypotension and fainting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Nausea · Be unable to work

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Productive cough — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Sore throat and phlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — day 7, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-01-21
Survey response — day 14, dose 2
MedDRA: Cough, Dysphonia, Productive cough — Feeling: Fair

Free text: Hoarseness, feeling phlegm in throat, mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 21, dose 2
MedDRA: Dysphonia, Oropharyngeal pain — Feeling: Fair

Free text: Hoarseness, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 28, dose 2
MedDRA: Dysphonia, Headache, Insomnia, Myalgia, Nasal congestion, Respiratory tract congestion — Feeling: Fair

Free text: Since the 2nd shot, I have:Nasal congestion, headache, insomnia, hoarseness, throat congestion. Generalized muscle pain, specially in right upper extremity.No fever.I did not seek medical care, nor did the COVID-19 testing ( PCR or antibody).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 42, dose 2
MedDRA: Dry throat, Dysphonia, Myalgia — Feeling: Fair

Free text: I still have moderate hoarseness and dry throat.Muscle pain right arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — 3 months, dose 2
MedDRA: Laryngoscopy abnormal, Office visit, Specialist consultation, Unevaluable event, Vocal cord paralysis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I was diagnosed with right vocal cord paralysis by laryngoscopy. Resolved by high dose of prednisone after 2 weeks. CT scan of the neck and chest were normal. · Healthcare visit (other): Radiology office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — 3 months, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 1 — Left Voicemail
2021-07-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2022-01-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-16	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No

Call center

3 call center cases

1 unsuccessful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-08

Systemic reaction (other): Hypotension and fainting

2021-01-10

Systemic reaction (other): Sore throat and phlegm

2021-01-11

Systemic reaction (other): Sore throat

Release 2 — day 14, dose 2

2021-01-21

Symptoms: Hoarseness, feeling phlegm in throat, mild cough

Release 2 — day 21, dose 2

2021-01-28

Symptoms: Hoarseness, sore throat

Release 3 — day 28, dose 2

2021-02-04

Symptoms: Since the 2nd shot, I have:Nasal congestion, headache, insomnia, hoarseness, throat congestion. Generalized muscle pain, specially in right upper extremity.No fever.I did not seek medical care, nor did the COVID-19 testing ( PCR or antibody).

Release 4 — day 42, dose 2

2021-02-18

Symptoms: I still have moderate hoarseness and dry throat.Muscle pain right arm.

Release 7 — 3 months, dose 2

2021-04-08

Symptoms: I was diagnosed with right vocal cord paralysis by laryngoscopy. Resolved by high dose of prednisone after 2 weeks. CT scan of the neck and chest were normal.

Healthcare visit (other): Radiology office

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	Office visit	✓	·	○
HCVO	Specialist consultation	○	✓	○
HCVO	Unevaluable event	·	·	✓
SD	Cough	✓	✓	✓
SD	Dry throat	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Laryngoscopy abnormal	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Vocal cord paralysis	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Syncope	✓	✓	✓

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