3KR-18869-44967

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 160 / PA
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-12
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Unrelated to the vaccine I have mucosal melanoma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-03-19
Survey response — day 7, dose 1
MedDRA: Office visit — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Chiropractor. Please note this is not likely related to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 2
Feeling: Fair · None · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Bell's palsy, Metastatic malignant melanoma, Paralysis, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): March 20 I developed Bells paltry. It is continuing. Please keep in mind I have.metastatic melanoma of the ethmoid. · Healthcare visit (other): This was related to the palsy not to the caccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Bell's palsy — Feeling: Fair

Free text: Continues Bells palsey

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued Bells palsey

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Bell's palsy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued Bellspalsey

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Bell's palsy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued Bell'sPalsey

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 2
MedDRA: Bell's palsy, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued bells palsey

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Survey response — day 42, dose 2
MedDRA: Deafness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Loss of hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Call 1 — Left Voicemail
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-12

Systemic reaction (other): Unrelated to the vaccine I have mucosal melanoma

Release 5 — day 7, dose 1

2021-03-19

Healthcare visit (other): Chiropractor. Please note this is not likely related to the vaccine

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): March 20 I developed Bells paltry. It is continuing. Please keep in mind I have.metastatic melanoma of the ethmoid.

Healthcare visit (other): This was related to the palsy not to the caccination

2021-04-04

Systemic reaction (other): Continues Bells palsey

2021-04-05

Systemic reaction (other): Continued Bells palsey

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Continued Bellspalsey

2021-04-08

Systemic reaction (other): Continued Bell'sPalsey

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Continued bells palsey

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Loss of hearing

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	Paralysis	✓	✓	✓
SD	Deafness	✓	✓	✓
SRO	Bell's palsy	✓	✓	✓
SRO	Metastatic malignant melanoma	○	✓	○
SRO	Pre-existing disease	✓	✓	✓

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