3KH-20030-12118

1 vaccination 11 coded responses 15 check-ins 11 free-text entries 2 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 381 / TN
Registered: 2021-04-24

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

Timeline

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

2021-04-24
Registered in v-safe
2021-04-24
Dose 1 — Pfizer-BioNTech
2021-04-24
Survey response — day 0, dose 1
MedDRA: Pollakiuria — Feeling: Good · Site: Pain · Fever · Headache, Joint pains · Be unable to work, Be unable to do your normal daily activities

Free text: Frequent urination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Decreased appetite, Pollakiuria, Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Frequent urination, loss of appetite, congestion, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in left side of chest that grows more noticeable daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headache still lingering and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 21, dose 1
MedDRA: Arthralgia, Cough, Headache, Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headache, pain in both legs, joints ache, coughing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 28, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 35, dose 1
MedDRA: Chest discomfort, Chest pain, Cough, Fatigue, Headache, Nasopharyngitis, Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headaches, constant coughs and chest pain with tightness, pain with soreness in legs with cold, and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 42, dose 1
MedDRA: Cough, Dyspnoea, Fatigue, Headache, Peripheral coldness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath, coughing, fatigue, headache, cold feet at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-24
Survey response — 3 months, dose 1
MedDRA: Arthralgia, Bone pain, Fatigue, Migraine, Myalgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fatigue, joint aches, bone and muscle aches, migraines

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-02
Call 1 — Left Voicemail
2021-10-25
Survey response — 6 months, dose 1
MedDRA: Cough, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: More fatigue, lasting coughs, and varying intensity headaches

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-24

Systemic reaction (other): Frequent urination

Release 7 — days 1–6 daily, dose 1

2021-04-25

Systemic reaction (other): Frequent urination, loss of appetite, congestion, cough

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Congestion

2021-04-29

Systemic reaction (other): Pain in left side of chest that grows more noticeable daily

Release 8 — day 14, dose 1

2021-05-08

Symptoms: Headache still lingering and fatigue.

Release 8 — day 21, dose 1

2021-05-15

Symptoms: Headache, pain in both legs, joints ache, coughing.

Release 8 — day 28, dose 1

2021-05-22

Symptoms: Fatigue, headaches

Release 8 — day 35, dose 1

2021-05-31

Symptoms: Headaches, constant coughs and chest pain with tightness, pain with soreness in legs with cold, and fatigue.

Release 8 — day 42, dose 1

2021-06-05

Symptoms: Shortness of breath, coughing, fatigue, headache, cold feet at night

Release 9 — 3 months, dose 1

2021-07-24

Symptoms: Fatigue, joint aches, bone and muscle aches, migraines

Release 10 — 6 months, dose 1

2021-10-25

Symptoms: More fatigue, lasting coughs, and varying intensity headaches

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	Arthralgia	✓	✓	✓
SD	Bone pain	✓	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral coldness	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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