3RM-11537-76929

3 vaccinations 8 coded responses 31 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 46-50
ZIP prefix: 752 / TX
Registered: 2021-03-01

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

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-01
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

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

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-24
Dose 2 — Pfizer-BioNTech
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Mobility decreased, Synovial cyst, Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Since Saturday I feel a discomfort of pain in the ganglia of the right armpit. This has left me limited in some movements and posture, especially lying down. the muscle where I took the dose was the right on when I close or move my arm I feel a lo

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Synovial cyst — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Free text: I have pain in the right armpit ganglion

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Nausea

Adult check-in
2021-10-09
Health check-in — day 7, dose 3
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-16
Survey response — day 14, dose 3
MedDRA: Axillary pain, Back pain, Nausea, Night sweats — Feeling: Fair

Free text: Nausea, armpit pain, night sweat, back pain,

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — day 21, dose 3
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good

Free text: diarrhea and stomach discomfort

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — day 28, dose 3
MedDRA: Cough, Pain, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school

Free text: Fever, pain, cough, runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — day 35, dose 3
MedDRA: Cough, Dyspnoea, Fatigue, Increased upper airway secretion — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have cough, fatigue, secretion in the throat, which bothers me to breathe during sleep

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-02
Survey response — 3 months, dose 3
MedDRA: Influenza — Feeling: Good

Free text: Flu

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Survey response — 12 months, dose 3
MedDRA: Cough, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Pain, fever,cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-24	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Since Saturday I feel a discomfort of pain in the ganglia of the right armpit. This has left me limited in some movements and posture, especially lying down. the muscle where I took the dose was the right on when I close or move my arm I feel a lo cut off by CDC

2021-10-05

Systemic reaction (other): I have pain in the right armpit ganglion

Release 10 — day 14, dose 3

2021-10-16

Symptoms: Nausea, armpit pain, night sweat, back pain,

Release 10 — day 21, dose 3

2021-10-22

Symptoms: diarrhea and stomach discomfort

Release 10 — day 28, dose 3

2021-10-31

Symptoms: Fever, pain, cough, runny nose

Release 10 — day 35, dose 3

2021-11-07

Symptoms: I have cough, fatigue, secretion in the throat, which bothers me to breathe during sleep

Release 10 — 3 months, dose 3

2022-01-02

Symptoms: Flu

Release 12 — 12 months, dose 3

2022-10-01

Symptoms: Pain, fever,cough

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	Abdominal discomfort	·	·	✓
SD	Axillary pain	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Increased upper airway secretion	·	·	✓
SD	Influenza	·	·	✓
SD	Nausea	·	·	✓
SD	Night sweats	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Synovial cyst	·	·	✓
SRO	Unevaluable event	·	·	✓

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