3T4-60495-47140

2 vaccinations 13 coded responses 23 check-ins 13 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 088 / NJ
Registered: 2021-01-13

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Pfizer-BioNTech
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Chills, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pruritus — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: Mild itching on the back , Fatigue gets better after bed rest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Fatigue, Pruritus, Somnolence — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: Itching on the back, No rashes ,Tired and sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-03
Dose 2 — Pfizer-BioNTech
2021-02-03
Survey response — day 0, dose 2
MedDRA: Dizziness, Hypertension, Pre-existing disease — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hypertension requiring additional doses, light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Tiredness with urge to sleep , light headed ness,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Irritability, Loss of personal independence in daily activities — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Irritability, BP elevation , delayed completion of daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Irritability — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Increased upper airway secretion — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Excessive Mucus upper respiratory tract, need to be coughed up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — day 7, dose 2
MedDRA: Blood pressure fluctuation, Irritability, Pruritus, Secretion discharge — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Itchy at back , mucus ,irritable, BP fluctuations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Survey response — day 35, dose 2
MedDRA: Chills, Confusional state, Dry skin, Fatigue, Pruritus — Feeling: Fair

Free text: Fatigue mild & off and on chills mild , dry skin with itching Confusion sometimes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 42, dose 2
MedDRA: Disturbance in attention, Fatigue, Headache, Lethargy — Feeling: Fair

Free text: Persistent mild fatigue, lethargy, headaches off & on , lack of concentration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Fatigue, Lethargy, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: OCD getting worseFatigue & lethargy persistent or worse at times with body aches Sometimes unable to do normal activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Chest pain, Coronary arterial stent insertion, Fatigue, Hospitalisation, Office visit, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Fatigue Weight lossLeft precordium chest pain , already seen by Cardiologist, one more coronary artery stent put in , July 06 · Healthcare visit (other): One day hospitalization for the stent July 6-7

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-15
Call 1 — Left Voicemail
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Angina pectoris, Bronchitis, Chest pain, Computerised tomogram abnormal, Fatigue, Lymphadenopathy, Office visit, Salivary hypersecretion, Secretion discharge, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest pains , both Cardiac & non cardiac, Abnormal CAT Scan of chest with inflammation of Bronchioles & tiny lymph nodes, excessive Saliva and mucus Weight loss , fatigue persists Unsure if related to COVID Vaccinations · Healthcare visit (other): Cardio and Pulmonologist consultation with outpatient office visits

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-08
Call 1 — Left Voicemail
2022-02-16
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Pfizer-BioNTech
2	2021-02-03	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Mild itching on the back , Fatigue gets better after bed rest

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Itching on the back, No rashes ,Tired and sleepy

Release 3 — day 0, dose 2

2021-02-03

Systemic reaction (other): Hypertension requiring additional doses, light headedness

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Tiredness with urge to sleep , light headed ness,

2021-02-06

Systemic reaction (other): Irritability, BP elevation , delayed completion of daily activities

2021-02-07

Systemic reaction (other): Irritability

2021-02-08

Systemic reaction (other): Excessive Mucus upper respiratory tract, need to be coughed up

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): Itchy at back , mucus ,irritable, BP fluctuations

Release 5 — day 35, dose 2

2021-03-10

Symptoms: Fatigue mild & off and on chills mild , dry skin with itching Confusion sometimes

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Persistent mild fatigue, lethargy, headaches off & on , lack of concentration

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: OCD getting worseFatigue & lethargy persistent or worse at times with body aches Sometimes unable to do normal activities

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Fatigue Weight lossLeft precordium chest pain , already seen by Cardiologist, one more coronary artery stent put in , July 06

Healthcare visit (other): One day hospitalization for the stent July 6-7

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Chest pains , both Cardiac & non cardiac, Abnormal CAT Scan of chest with inflammation of Bronchioles & tiny lymph nodes, excessive Saliva and mucus Weight loss , fatigue persists Unsure if related to COVID Vaccinations

Healthcare visit (other): Cardio and Pulmonologist consultation with outpatient office visits

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	Hospitalisation	✓	·	✓
HCVO	Office visit	·	·	✓
SD	Angina pectoris	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chest pain	✓	·	✓
SD	Chills	✓	✓	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	Confusional state	✓	✓	✓
SD	Coronary arterial stent insertion	✓	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Office visit	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Salivary hypersecretion	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Weight decreased	✓	·	✓
SRO	Blood pressure fluctuation	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Increased upper airway secretion	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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