45B-27335-71321

5 vaccinations 4 coded responses 45 check-ins 4 free-text entries 0 call cases

Sex: —
Age at first dose: 66+
ZIP prefix: 346 / FL
Registered: 2021-01-27

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-27
Survey response — day 0, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Arm pain at shot spot when raising the arm above the shoulder w/any sort of resistance or weight in hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: When I move my arm above my shoulder with any sort of weight, then I have a sharp, abrupt pain at the shot site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Pfizer-BioNTech
Co-administered: Flu:Pneumonia
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-05
Dose 4 — Pfizer-BioNTech
Co-administered: Flu:Tetanus
2022-09-16
Dose 5 — Pfizer-BioNTech
2022-09-29
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-14
Survey response — day 28, dose 5
MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: I caught a cold from my visiting five year old granddaughter. It was worse than Covid. I had a test thinking it might be Covid, but I was negative. After five days I am mostly fine now with only a slight cough.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-10-28	Pfizer-BioNTech	Flu:Pneumonia
4	2022-05-05	Pfizer-BioNTech	Flu:Tetanus
5	2022-09-16	Pfizer-BioNTech	No

Free text

Release 2 — day 0, dose 1

2021-01-27

Systemic reaction (other): chest tightness

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Arm pain at shot spot when raising the arm above the shoulder w/any sort of resistance or weight in hand.

2021-02-02

Systemic reaction (other): When I move my arm above my shoulder with any sort of weight, then I have a sharp, abrupt pain at the shot site.

Release 12 — day 28, dose 5

2022-10-14

Symptoms: I caught a cold from my visiting five year old granddaughter. It was worse than Covid. I had a test thinking it might be Covid, but I was negative. After five days I am mostly fine now with only a slight cough.

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	Nasopharyngitis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain	✓	✓	✓

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