3PT-24793-25057

4 vaccinations 6 coded responses 37 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 560 / MN
Registered: 2021-04-09

Relationship: Self
Race: White
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

2021-03-11
Dose 1 — Pfizer-BioNTech
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-09
Registered in v-safe
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Adverse reaction, Headache, Rhinorrhoea — Feeling: Good

Free text: Allergy like, runny nose, headache

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Dose 3 — Pfizer-BioNTech
2021-10-05
Survey response — day 0, dose 3
MedDRA: Blood pressure increased, Heart rate increased — Feeling: Good · Site: Pain, Swelling

Free text: Four hours after the vaccination, my blood pressure is slightly elevated and my pulse moderately elevated. Normal resting blood pressure is around 105/70 and now is 121/81. Normal resting pulse is 65 and is now 81.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school

Free text: The booster dose definitely hit me harder than the second dose

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache

Adult check-in
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Blood pressure fluctuation, Pulse abnormal — Feeling: Good · Headache, Fatigue or tiredness

Free text: My blood pressure and pulse still fluctuate but not as much as before

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-24
Dose 4 — Pfizer-BioNTech
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-31
Health check-in — day 7, dose 4
Feeling: Fair · None

Adult check-in
2022-06-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-21
Survey response — day 28, dose 4
MedDRA: Heart rate increased, Insomnia, Weight decreased — Feeling: Fair

Free text: Rapid weight loss, faster than normal heart rate, problems sleeping

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-23
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-22
Survey response — 6 months, dose 4
MedDRA: Adverse reaction — Feeling: Good · Be unable to work or attend school

Free text: The fifth shot hit me really hard. It took close to a week to recover.

MedDRA releases: 2024-11 · check-in free text available
2023-05-24
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-10-05	Pfizer-BioNTech	No
4	2022-05-24	Pfizer-BioNTech	No

Free text

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Allergy like, runny nose, headache

Release 10 — day 0, dose 3

2021-10-05

Systemic reaction (other): Four hours after the vaccination, my blood pressure is slightly elevated and my pulse moderately elevated. Normal resting blood pressure is around 105/70 and now is 121/81. Normal resting pulse is 65 and is now 81.

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): The booster dose definitely hit me harder than the second dose

2021-10-08

Systemic reaction (other): My blood pressure and pulse still fluctuate but not as much as before

Release 12 — day 28, dose 4

2022-06-21

Symptoms: Rapid weight loss, faster than normal heart rate, problems sleeping

Release 12 — 6 months, dose 4

2022-11-22

Symptoms: The fifth shot hit me really hard. It took close to a week to recover.

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	Adverse reaction	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Insomnia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Blood pressure fluctuation	·	·	✓
SRO	Blood pressure increased	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Pulse abnormal	·	·	✓

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