4BT-27638-65164

5 vaccinations 11 coded responses 33 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 967 / HI
Registered: 2021-03-13

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-13
Registered in v-safe
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Left hand is a little swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Mobility decreased, No adverse event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still unable to have full use of my left arm since the vaccination.

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

Adult check-in
2021-04-28
Health check-in — day 28, dose 2
Feeling: Fair

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

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Increased upper airway secretion, Throat clearing — Feeling: Fair

Free text: Feels like mucus is always stuck in my throat. Frequently need to clear my throat .

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Dose 3 — Pfizer-BioNTech
2022-03-31
Survey response — 12 months, dose 2
MedDRA: Cough, Increased upper airway secretion — Feeling: Fair

Free text: There's is always mucus in my throat. Hard to get it out.

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Dose 4 — Moderna
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-04-20
Survey response — day 7, dose 4
MedDRA: Increased upper airway secretion, Throat clearing — Feeling: Fair · Fatigue or tiredness

Free text: Need to always clear my throat. Feels like mucus stuck in my throat.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — day 14, dose 4
MedDRA: Rhinorrhoea, Throat irritation — Feeling: Fair

Free text: Running nose. Throat slightly irated.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — day 21, dose 4
MedDRA: Asthenia, Fatigue — Feeling: Fair

Free text: Feeling more fatigue. Weakness in lower half of body.

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Survey response — day 28, dose 4
MedDRA: Fatigue, Headache — Feeling: Poor

Free text: Headache and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — day 35, dose 4
MedDRA: Increased upper airway secretion, Rhinorrhoea — Feeling: Fair

Free text: Running nose. Feels like mucus stuck in my throat and cannot clear it.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-13
Survey response — 3 months, dose 4
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lower back pain. At times very painful.

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-10-14
Dose 5 — Moderna
2023-04-14
Survey response — 6 months, dose 5
MedDRA: Bronchitis, Chest pain, Cough — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-14
Report sent to call center — 6 months, dose 5
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)
2023-04-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-20	Pfizer-BioNTech	No
4	2022-04-13	Moderna	No
5	2022-10-14	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Left hand is a little swollen

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Still unable to have full use of my left arm since the vaccination.

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Feels like mucus is always stuck in my throat. Frequently need to clear my throat .

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: There's is always mucus in my throat. Hard to get it out.

Release 11 — day 7, dose 4

2022-04-20

Systemic reaction (other): Need to always clear my throat. Feels like mucus stuck in my throat.

Release 11 — day 14, dose 4

2022-04-27

Symptoms: Running nose. Throat slightly irated.

Release 11 — day 21, dose 4

2022-05-04

Symptoms: Feeling more fatigue. Weakness in lower half of body.

Release 11 — day 28, dose 4

2022-05-11

Symptoms: Headache and fatigue.

Release 11 — day 35, dose 4

2022-05-18

Symptoms: Running nose. Feels like mucus stuck in my throat and cannot clear it.

Release 12 — 3 months, dose 4

2022-07-13

Symptoms: Lower back pain. At times very painful.

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	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Increased upper airway secretion	·	·	✓
SD	Mobility decreased	·	·	✓
SD	No adverse event	✓	✓	○
SD	Rhinorrhoea	·	·	✓
SD	Throat clearing	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Increased upper airway secretion	·	·	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Throat clearing	·	·	✓

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