44D-22290-87808

3 vaccinations 11 coded responses 16 check-ins 11 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 346 / FL
Registered: 2021-08-24

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

2021-02-19
Dose 1 — Pfizer-BioNTech
2021-03-12
Dose 2 — Pfizer-BioNTech
2021-08-24
Registered in v-safe
2021-08-24
Dose 3 — Pfizer-BioNTech
2021-08-24
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-08-26
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Survey response — day 7, dose 3
MedDRA: Nausea — Feeling: Good · Nausea

Free text: Mild nausea for a small amount of time yesterday.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort — Feeling: Good · Be unable to do your normal daily activities

Free text: Upset stomach on 9/5; only for one day. Otherwise, I feel well today and I felt well Labor Day.

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-05
Survey response — day 42, dose 3
MedDRA: Arthralgia, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have sore joints. I take an infusion monthly of Actemra, and my next infusion is tomorrow. Often on the last day or two before I get a new infusion, I may have soreness like I have now. · Healthcare visit (other): I'll see my rheumatologist tomorrow for my next infusion.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-22
Call 2 — Left Voicemail
2021-11-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-22
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cold. Not Covid.

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-24
Call 1 — Left Voicemail
2022-08-24
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Covid for 10 days

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-08-25
Call 1 — Left Voicemail
2022-08-25
Call 2 — Left Voicemail
2022-08-25
Call 1 — Left Voicemail
2022-08-25
Call successful
Does not wish to fill out VAERS report
2022-08-25
Call successful
Does not wish to fill out VAERS report
2022-08-25
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Pfizer-BioNTech	No
2	2021-03-12	Pfizer-BioNTech	No
3	2021-08-24	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 9 — day 0, dose 3

2021-08-24

Systemic reaction (other): None

Release 9 — days 1–6 daily, dose 3

2021-08-26

Systemic reaction (other): None

2021-08-27

Systemic reaction (other): No

2021-08-28

Systemic reaction (other): No

2021-08-29

Systemic reaction (other): No

2021-08-30

Systemic reaction (other): No

Release 9 — day 7, dose 3

2021-09-02

Systemic reaction (other): Mild nausea for a small amount of time yesterday.

Release 9 — day 14, dose 3

2021-09-07

Symptoms: Upset stomach on 9/5; only for one day. Otherwise, I feel well today and I felt well Labor Day.

Release 10 — day 42, dose 3

2021-10-05

Symptoms: I have sore joints. I take an infusion monthly of Actemra, and my next infusion is tomorrow. Often on the last day or two before I get a new infusion, I may have soreness like I have now.

Healthcare visit (other): I'll see my rheumatologist tomorrow for my next infusion.

Release 11 — 6 months, dose 3

2022-02-22

Symptoms: Cold. Not Covid.

Release 12 — 12 months, dose 3

2022-08-24

Symptoms: Covid for 10 days

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	Unevaluable event	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Arthralgia	·	·	✓
SD	COVID-19	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Nausea	✓	·	✓
SRO	No adverse event	✓	·	✓

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