34J-31817-82840

3 vaccinations 9 coded responses 30 check-ins 9 free-text entries 5 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 490 / MI
Registered: 2021-01-25

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

2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-25
Registered in v-safe
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-12
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — day 14, dose 2
MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Have cold. As for. Question re covid-19 test it has no answer l needed. Should also ask if it is not know as you haven't had a covid-19 test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 21, dose 2
MedDRA: Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Went to the Dr office on Tuesday. I was put on a zpack and and a med that I take 4 pills twice a day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — day 28, dose 2
MedDRA: Asthenia, Cough, Office visit, Respiratory tract congestion — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Cough, congestion and weakness · Healthcare visit (other): Dr appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Survey response — day 42, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have spent the last three weeks getting over a bad cold. Now just have to get my strength back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Survey response — 6 months, dose 2
MedDRA: Blood iron decreased, Fatigue — Feeling: Fair

Free text: Just low iron and more tired. Can you tell me when i can get the 3 shot

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-10-26
Survey response — day 21, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Lymphedema acting up

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-28
Call 1 — Left Voicemail
2021-11-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-08
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-15
Survey response — day 42, dose 3
MedDRA: Lymphoedema, Office visit — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lymphedema episode am seeing dr at wound clinic at hospital

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-04
Survey response — 6 months, dose 3
MedDRA: Fall, Hip fracture — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Fell broke hip. When can i get the second booster shot?

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-05
Call 1 — Left Voicemail
2022-10-06
Survey response — 12 months, dose 3
MedDRA: Lymphoedema — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Lymphedema crisis

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-10-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-07
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	2021-01-22	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-28

Symptoms: Have cold. As for. Question re covid-19 test it has no answer l needed. Should also ask if it is not know as you haven't had a covid-19 test.

Release 5 — day 21, dose 2

2021-03-06

Symptoms: Went to the Dr office on Tuesday. I was put on a zpack and and a med that I take 4 pills twice a day

Release 5 — day 28, dose 2

2021-03-13

Symptoms: Cough, congestion and weakness

Healthcare visit (other): Dr appointment

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Have spent the last three weeks getting over a bad cold. Now just have to get my strength back.

Release 9 — 6 months, dose 2

2021-08-15

Symptoms: Just low iron and more tired. Can you tell me when i can get the 3 shot

Release 10 — day 21, dose 3

2021-10-26

Symptoms: Lymphedema acting up

Release 10 — day 42, dose 3

2021-11-15

Symptoms: Lymphedema episode am seeing dr at wound clinic at hospital

Release 11 — 6 months, dose 3

2022-04-04

Symptoms: Fell broke hip. When can i get the second booster shot?

Release 12 — 12 months, dose 3

2022-10-06

Symptoms: Lymphedema crisis

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	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Blood iron decreased	✓	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Fall	·	·	✓
SD	Fatigue	✓	·	✓
SD	Hip fracture	·	·	✓
SD	Lymphoedema	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓

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