3U8-10220-23949

4 vaccinations 15 coded responses 42 check-ins 15 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 606 / IL
Registered: 2021-03-18

Relationship: Self
Race: N/A
Ethnicity: 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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Yesterday March 18, 2021 woke up with not much appite yet was able to eat an tolorate food. All so today march 19, 2021 mild pain in the injetion area all so on March 17, 2021 little more severe but now okey.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Injection site pruritus — Feeling: Good · Site: Pain, Itching

Free text: 3rd day today march 20,2021 Mild itching in the vaccinated erea NO redness or swelling, allso mild muscle pain in the injection area. Yet felling good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Itching · Muscle or body aches

Free text: Today March 22, 2021 had a little pain comes and go's, very mild not close to full mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema — Feeling: Good · Site: Redness, Itching

Free text: Yester day match 22,2021.. I notice small redness around where i was vaccinsted yet it was mild a little red today more like pinkish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Pfizer-BioNTech
2021-04-03
Survey response — day 0, dose 2
MedDRA: Fatigue, Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Muscular mild pain in the vaccinate area and mild tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Injection site pain — Feeling: Fair · Site: Pain

Free text: Moderate muscle pain in the vaccinated area only and in the morning little lost of appetit but was able to eat and tolerate food.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-15
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-12-15
Survey response — day 0, dose 3
MedDRA: Limb discomfort, Pain in extremity — Feeling: Good · Site: Pain

Free text: Mild pain in both arms little discomfort since had both shots (left arm) - covid-19 vaccine 3rd dose, (right arm) - flu shot.

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Peripheral swelling, Pruritus — Feeling: Good · Site: Pain, Swelling, Itching

Free text: Covid 19 shot side arm (left) - mild pain,swelling, itching / Flue shot side arm ( right ) - very mild pain only, very mild itching.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Tenderness — Feeling: Good · Site: Pain

Free text: Left arm ( covid vaccine booster) - mild pain when touch only / Right arm ( flu vaccine ) - very mild pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-19
Survey response — day 35, dose 3
MedDRA: Exposure to SARS-CoV-2, Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair

Free text: Since expose to covi-19 with family members living with me since january 3, 2021 I have felt mild symptoms like light headache and very mild soar throat Yet on jan 8, 2021 i got tested for covid got my result in on january 11, 2021 with negative.

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-16
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: What i have notice is that i been catching the cold more often since i put the flu shot with my 3rd covid vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-15
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-12-16
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-12-16
Survey response — day 0, dose 4
MedDRA: Injection site pain — Feeling: Fair · Site: Pain

Free text: Just muscle pain moderate in the injection area.

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Chills, Fatigue, Injection site pain, Malaise, Myalgia — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: DEC 16, 2022 ( GOT VACCINATED) *2pm BOSTER Bivalent Vaccine *3am - 6am tiredness/ muscle pain / chills / join pain / feeling unwell/INJECTION SITE PAIN /. *6:30am - 7:30am Felt a little tiredness (no muscle pain / chills / join pain / feeling

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain, Pain in extremity — Feeling: Fair

Free text: DECEMBER 18, 2022 12am - 5pm INJECTION SITE PAIN REMAIN / ARM PAIN REMAIN DECEMBER 19, 2022 12am - 5pm INJECTION SITE PAIN REMAIN Mild

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain, Pain in extremity — Feeling: Good

Free text: December 20, 2022 ONLY INJECTION SITE PAIN / ARM PAIN, DECEMBER 21, 2022 NO SYMPTOMS

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-01-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-01-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-01-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-06-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-03	Pfizer-BioNTech
3	2021-12-15	Pfizer-BioNTech	Flu
4	2022-12-16	Pfizer-BioNTech	Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Yesterday March 18, 2021 woke up with not much appite yet was able to eat an tolorate food. All so today march 19, 2021 mild pain in the injetion area all so on March 17, 2021 little more severe but now okey.

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): 3rd day today march 20,2021 Mild itching in the vaccinated erea NO redness or swelling, allso mild muscle pain in the injection area. Yet felling good

2021-03-22

Systemic reaction (other): Today March 22, 2021 had a little pain comes and go's, very mild not close to full mild

2021-03-23

Systemic reaction (other): Yester day match 22,2021.. I notice small redness around where i was vaccinsted yet it was mild a little red today more like pinkish.

Release 6 — day 0, dose 2

2021-04-03

Systemic reaction (other): Muscular mild pain in the vaccinate area and mild tiredness

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Moderate muscle pain in the vaccinated area only and in the morning little lost of appetit but was able to eat and tolerate food.

Release 10 — day 0, dose 3

2021-12-15

Systemic reaction (other): Mild pain in both arms little discomfort since had both shots (left arm) - covid-19 vaccine 3rd dose, (right arm) - flu shot.

Release 10 — days 1–6 daily, dose 3

2021-12-16

Systemic reaction (other): Covid 19 shot side arm (left) - mild pain,swelling, itching / Flue shot side arm ( right ) - very mild pain only, very mild itching.

2021-12-17

Systemic reaction (other): Left arm ( covid vaccine booster) - mild pain when touch only / Right arm ( flu vaccine ) - very mild pain

Release 10 — day 35, dose 3

2022-01-19

Symptoms: Since expose to covi-19 with family members living with me since january 3, 2021 I have felt mild symptoms like light headache and very mild soar throat Yet on jan 8, 2021 i got tested for covid got my result in on january 11, 2021 with negative.

Release 11 — 3 months, dose 3

2022-03-16

Symptoms: What i have notice is that i been catching the cold more often since i put the flu shot with my 3rd covid vaccine

Release 12 — day 0, dose 4

2022-12-16

Systemic reaction (other): Just muscle pain moderate in the injection area.

Release 12 — days 1–6 daily, dose 4

2022-12-17

Systemic reaction (other): DEC 16, 2022 ( GOT VACCINATED) *2pm BOSTER Bivalent Vaccine *3am - 6am tiredness/ muscle pain / chills / join pain / feeling unwell/INJECTION SITE PAIN /. *6:30am - 7:30am Felt a little tiredness (no muscle pain / chills / join pain / feeling cut off by CDC

2022-12-19

Systemic reaction (other): DECEMBER 18, 2022 12am - 5pm INJECTION SITE PAIN REMAIN / ARM PAIN REMAIN DECEMBER 19, 2022 12am - 5pm INJECTION SITE PAIN REMAIN Mild

2022-12-21

Systemic reaction (other): December 20, 2022 ONLY INJECTION SITE PAIN / ARM PAIN, DECEMBER 21, 2022 NO SYMPTOMS

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	Exposure to SARS-CoV-2	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Chills	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Limb discomfort	·	·	✓
SRO	Malaise	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Tenderness	·	·	✓

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