4BF-15471-11107

4 vaccinations 15 coded responses 29 check-ins 15 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 492 / MI
Registered: 2021-01-27

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

2021-01-26
Dose 1 — Pfizer-BioNTech
2021-01-27
Registered in v-safe
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Diarrhea

Free text: Mild pain at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Dose 2 — Pfizer-BioNTech
2021-02-16
Survey response — day 21, dose 1
MedDRA: Chest pain, Dizziness — Feeling: Fair

Free text: Chest pains and light headded.8

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: light-headed at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

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 · Site: Itching · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 14, dose 2
MedDRA: Anxiety, Chest discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Feelings of anxiety and uncomfortable sensations in my chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 35, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Long term back pain associated with spinal stenosis has been much worse the past two weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 42, dose 2
MedDRA: Confusional state — Feeling: Good · Be unable to do your normal daily activities

Free text: Mental confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — 3 months, dose 2
MedDRA: Dysphagia — Feeling: Good

Free text: Difficulty swollowing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Call 1 — Could Not Reach Participant
2021-10-05
Call 2 — Could Not Reach Participant
2021-12-13
Dose 3 — Pfizer-BioNTech
2022-02-18
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-20
Dose 4 — Pfizer-BioNTech
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Mild sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-28
Survey response — day 7, dose 4
MedDRA: Constipation — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Constipation

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — day 14, dose 4
MedDRA: Arthralgia, Back pain, Hypoaesthesia, Medical counselling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Hip and lower back pain have worsened. Numbness of left leg went from occasional to nearly constant. · Healthcare visit (other): Telephone call and appointment scheduled.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-11
Survey response — day 21, dose 4
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Sore throat and runny nose.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — day 28, dose 4
MedDRA: Ageusia, Arthralgia, Cough, Fatigue, Myalgia, Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Sore throat, sinus congestion, cough, muscle and joint pain. fatigue, and loss of taste. I tested positive for COVID. · Healthcare visit (other): Received monoclonal antibody infusion yesterday..

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-26
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Survey response — day 42, dose 4
MedDRA: Arthralgia, Back pain — Feeling: Fair

Free text: More joint and back pain.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-16	Pfizer-BioNTech
3	2021-12-13	Pfizer-BioNTech	No
4	2022-04-20	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Back pain

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Mild pain at injection site

2021-01-31

Systemic reaction (other): No

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Chest pains and light headded.8

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): light-headed at times

Release 4 — day 14, dose 2

2021-03-03

Symptoms: Feelings of anxiety and uncomfortable sensations in my chest.

Release 6 — day 35, dose 2

2021-03-23

Symptoms: Long term back pain associated with spinal stenosis has been much worse the past two weeks.

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Mental confusion

Release 8 — 3 months, dose 2

2021-05-18

Symptoms: Difficulty swollowing.

Release 11 — days 1–6 daily, dose 4

2022-04-25

Systemic reaction (other): Mild sore throat

Release 11 — day 7, dose 4

2022-04-28

Systemic reaction (other): Constipation

Release 11 — day 14, dose 4

2022-05-04

Symptoms: Hip and lower back pain have worsened. Numbness of left leg went from occasional to nearly constant.

Healthcare visit (other): Telephone call and appointment scheduled.

Release 11 — day 21, dose 4

2022-05-11

Symptoms: Sore throat and runny nose.

Release 11 — day 28, dose 4

2022-05-18

Symptoms: Sore throat, sinus congestion, cough, muscle and joint pain. fatigue, and loss of taste. I tested positive for COVID.

Healthcare visit (other): Received monoclonal antibody infusion yesterday..

Release 11 — day 42, dose 4

2022-06-02

Symptoms: More joint and back pain.

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	Medical counselling	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Ageusia	·	·	✓
SD	Anxiety	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Constipation	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓

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