44U-23817-23091

6 vaccinations 6 coded responses 48 check-ins 4 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 488 / MI
Registered: 2021-01-25

Relationship: Self
Race: White
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

2020-12-18
Dose 1 — Pfizer-BioNTech
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-25
Registered in v-safe
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Dose 4 — Pfizer-BioNTech
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-15
Survey response — day 14, dose 4
MedDRA: Headache, Injection site erythema, Injection site pain, Pain — Feeling: Good

Free text: Post-vaccination mild achiness, headache; moderately sore and red arm at injection site. Resolved in 48 hours.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-27
Survey response — day 28, dose 4
MedDRA: Bronchitis, Influenza like illness, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Non-COVID (PCR and rapid zag test negative) bronchitis, flu-like symptoms x past 5 days.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Dose 5 — Pfizer-BioNTech
2022-10-07
Survey response — days 1–6 daily, dose 5
MedDRA: Influenza like illness, Self-medication — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Flu-like, worst 8-24 hours after bivalve the booster, better with naproxen 440 mg, 90% better today. Similar to prior COVID vaccinations.

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-19
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-09
Survey response — day 35, dose 5
MedDRA: Bronchitis, SARS-CoV-2 test negative — Feeling: Good

Free text: Bronchitis last week, improving. Negative COVID rapid Ag tests x 2.

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-04
Survey response — 3 months, dose 5
MedDRA: Bronchitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-05
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in
2023-05-12
Dose 6 — Pfizer-BioNTech
2023-05-12
Health check-in — day 0, dose 6
Feeling: Good · None

Adult check-in
2023-05-13
Survey response — days 1–6 daily, dose 6
MedDRA: Pain, Poor quality sleep, Sleep disorder — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-14
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2023-05-15
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2023-05-16
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2023-05-17
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2023-05-18
Health check-in — days 1–6 daily, dose 6
Feeling: Good · None

Adult check-in
2023-05-19
Health check-in — day 7, dose 6
Feeling: Good · None

Adult check-in
2023-05-26
Health check-in — day 14, dose 6
Feeling: Good

Adult check-in
2023-06-02
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2023-06-09
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2023-06-16
Health check-in — day 35, dose 6
Feeling: Good

Adult check-in
2023-06-23
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	Flu
4	2022-03-30	Pfizer-BioNTech	No
5	2022-10-05	Pfizer-BioNTech	No
6	2023-05-12	Pfizer-BioNTech	No

Free text

Release 11 — day 14, dose 4

2022-04-15

Symptoms: Post-vaccination mild achiness, headache; moderately sore and red arm at injection site. Resolved in 48 hours.

Release 11 — day 28, dose 4

2022-04-27

Symptoms: Non-COVID (PCR and rapid zag test negative) bronchitis, flu-like symptoms x past 5 days.

Release 12 — days 1–6 daily, dose 5

2022-10-07

Systemic reaction (other): Flu-like, worst 8-24 hours after bivalve the booster, better with naproxen 440 mg, 90% better today. Similar to prior COVID vaccinations.

Release 12 — day 35, dose 5

2022-11-09

Symptoms: Bronchitis last week, improving. Negative COVID rapid Ag tests x 2.

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	Bronchitis	·	·	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Injection site erythema	·	·	✓
SD	Injection site pain	·	·	✓
SD	Pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Influenza like illness	·	·	✓
SRO	Pain	·	·	✓
SRO	Poor quality sleep	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Sleep disorder	·	·	✓

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