3CN-49317-45179

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 770 / TX
Registered: 2021-01-22

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness special in the morning time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Nausea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-02-07
Survey response — day 14, dose 1
MedDRA: Cough, Disturbance in attention, Dyspnoea, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have cough , l have lost weight, l have shortness of breath,loss of concentration.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 21, dose 1
MedDRA: Cough, Dizziness, Dyspnoea, Headache, Nausea, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough,Nausea, ,headache,wheezing, shortness of breath, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 28, dose 1
MedDRA: Cough, Decreased appetite, Dizziness, Dyspnoea, Headache, Nausea, Wheezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Too much cough , headache, wheezing and shortness of breath, dizziness, Nausea, Appetite loss.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Dose 2 — Pfizer-BioNTech
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: Shortness of breath & cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Headache, Joint pains

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 21, dose 2
MedDRA: Cough, Dyspnoea, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: To much cough, wheezing, shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 28, dose 2
MedDRA: Cough, Dyspnoea, Wheezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cough, wheezing, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 35, dose 2
MedDRA: Cough, Self-medication, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: better than the last couple of days but still l have some cough and light wheezing but I'm trying to deal with my symptoms by taking medicine like symbicort which is very helpful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-03-03	Pfizer-BioNTech

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Dizziness special in the morning time

Release 3 — day 14, dose 1

2021-02-07

Symptoms: I have cough , l have lost weight, l have shortness of breath,loss of concentration.

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Cough,Nausea, ,headache,wheezing, shortness of breath, dizziness

Release 4 — day 28, dose 1

2021-02-19

Symptoms: Too much cough , headache, wheezing and shortness of breath, dizziness, Nausea, Appetite loss.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Shortness of breath & cough

Release 6 — day 21, dose 2

2021-03-24

Symptoms: To much cough, wheezing, shortness of breath.

Release 6 — day 28, dose 2

2021-04-02

Symptoms: Cough, wheezing, shortness of breath

Release 7 — day 35, dose 2

2021-04-07

Symptoms: better than the last couple of days but still l have some cough and light wheezing but I'm trying to deal with my symptoms by taking medicine like symbicort which is very helpful.

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	Cough	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Weight decreased	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓

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