43L-47872-83504

3 vaccinations 7 coded responses 29 check-ins 7 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 928 / CA
Registered: 2021-03-16

Relationship: Self
Race: Asian
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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: 1st pfizer injection on 16Mar21 and having sore left arm where injection was g icen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches

Free text: Just a leg cramp which may be unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue. Still under diabetic meds. Must be diet. Not sick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Dose 2 — Pfizer-BioNTech
2021-04-06
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Swelling · Muscle or body aches

Free text: Aches at point of injection inuppwr left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-23
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diabetes sugar levsl high. Trying get under xontrol. Fatifue and headaxhe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-03
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — day 0, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Joint pains

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-31
Survey response — day 28, dose 3
MedDRA: Rhinorrhoea — Feeling: Poor

Free text: Just runny nose in last 24 hours

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
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
2022-01-02
Survey response — 3 months, dose 3
MedDRA: Cough, Quarantine, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough and congession. Started 23Dec21 so I went for covid19 PCR test on 30Dec21 make sure i did not catch Covid19. Test results negative. I have congession but getting better...self quarantine just to be safe

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-06	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): 1st pfizer injection on 16Mar21 and having sore left arm where injection was g icen.

2021-03-19

Systemic reaction (other): Just a leg cramp which may be unrelated

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Fatigue. Still under diabetic meds. Must be diet. Not sick

Release 7 — day 0, dose 2

2021-04-06

Systemic reaction (other): Aches at point of injection inuppwr left arm

Release 7 — day 14, dose 2

2021-04-23

Symptoms: Diabetes sugar levsl high. Trying get under xontrol. Fatifue and headaxhe.

Release 10 — day 28, dose 3

2021-10-31

Symptoms: Just runny nose in last 24 hours

Release 10 — 3 months, dose 3

2022-01-02

Symptoms: Cough and congession. Started 23Dec21 so I went for covid19 PCR test on 30Dec21 make sure i did not catch Covid19. Test results negative. I have congession but getting better...self quarantine just to be safe

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	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Quarantine	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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