3WL-30035-34348

4 vaccinations 7 coded responses 29 check-ins 6 free-text entries 2 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 337 / FL
Registered: 2021-07-05

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-07-05
Registered in v-safe
2021-07-05
Dose 1 — Pfizer-BioNTech
2021-07-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-07-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-07
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Nocturia — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Constipation and numerous emptying of bladder throughout the night. Drinking plenty of water.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit — Feeling: Good · None · Get care from a doctor or other healthcare professional

Free text: Eye doctor appointment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-07-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Muscle or body aches

Adult check-in
2021-07-12
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-13
Call 2 — Left Voicemail
2021-07-19
Survey response — day 14, dose 1
MedDRA: Drug interaction, Fatigue, Sexual dysfunction — Feeling: Fair · Be unable to do your normal daily activities

Free text: Doctors took me off of BP medicines.One because it impacts my sex life.The other because it caused extreme exhaustion. Latest reading 112/80/92 @ 6:59 am on 7-19-21. Took only multivitamins & BP 109/68/89 @ 8:19 am on 7-19-21.

MedDRA releases: 2024-11 · check-in free text available
2021-07-26
Dose 2 — Pfizer-BioNTech
2021-07-26
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Injection muscle soreness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Hyperhidrosis, Night sweats, Pyrexia, Self-medication — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Chills and slight fever @ 4:10 pm on 7-27-21. Slight headache @ 9:26 pm. Took Tylenol. Sweated profusely throughout the night . Noticed @ 3:00om on 7-28-21.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-08-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-08-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-08-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-09-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-04
Dose 3 — Pfizer-BioNTech
2022-07-11
Dose 4 — Pfizer-BioNTech
2022-07-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-28
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-08-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-10
Survey response — 6 months, dose 4
MedDRA: Hypoaesthesia, Office visit, Sciatica — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-01-10
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2023-01-10
Call 1 — Left Voicemail
2023-01-10
Call 1 — Left Voicemail
2023-01-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-05	Pfizer-BioNTech	No
2	2021-07-26	Pfizer-BioNTech	No
3	2022-02-04	Pfizer-BioNTech	No
4	2022-07-11	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-07

Systemic reaction (other): Constipation and numerous emptying of bladder throughout the night. Drinking plenty of water.

2021-07-08

Healthcare visit (other): Eye doctor appointment.

Release 9 — day 14, dose 1

2021-07-19

Symptoms: Doctors took me off of BP medicines.One because it impacts my sex life.The other because it caused extreme exhaustion. Latest reading 112/80/92 @ 6:59 am on 7-19-21. Took only multivitamins & BP 109/68/89 @ 8:19 am on 7-19-21.

Release 9 — day 0, dose 2

2021-07-26

Systemic reaction (other): Light headed

Release 9 — days 1–6 daily, dose 2

2021-07-27

Systemic reaction (other): Injection muscle soreness

2021-07-28

Systemic reaction (other): Chills and slight fever @ 4:10 pm on 7-27-21. Slight headache @ 9:26 pm. Took Tylenol. Sweated profusely throughout the night . Noticed @ 3:00om on 7-28-21.

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	✓	✓	✓
SD	Drug interaction	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Sciatica	·	·	✓
SD	Sexual dysfunction	·	·	✓
SRO	Chills	✓	·	✓
SRO	Constipation	✓	✓	✓
SRO	Dizziness	✓	·	✓
SRO	Headache	✓	·	✓
SRO	Hyperhidrosis	✓	·	✓
SRO	Injection site pain	✓	·	✓
SRO	Night sweats	✓	·	✓
SRO	Nocturia	✓	✓	✓
SRO	Pyrexia	✓	·	✓
SRO	Self-medication	✓	·	✓

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