4DY-79319-61673

4 vaccinations 11 coded responses 30 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 968 / HI
Registered: 2021-03-27

Relationship: Self
Race: Asian
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

2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-27
Registered in v-safe
2021-03-27
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Fair · Fever · Rash, not including the immediate area around the injection site

Free text: Had rash for awhile

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-06-17
Dose 2 — Pfizer-BioNTech
2021-06-17
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-06-17
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-06-18
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair

Free text: Off and on numbness in left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-06-20
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair

Free text: Lower back pain (not really hurting real bad)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Just a little more tired than normal and a mild headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-06-23
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: Feeling a little more tired than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 7, dose 2
MedDRA: Pre-existing disease, Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Had rash for a while before COVID-19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-08
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-16
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-10-25
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-12-16
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: High temperature, chest congestion a for past 4 days. Congestion had for a while, only a little bit more.

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Fair · Headache

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-28
Survey response — day 21, dose 4
MedDRA: Feeling jittery, Pyrexia, Respiratory tract congestion, Sinus congestion — Feeling: Fair · Be unable to work or attend school

Free text: Stuffed head, sinus congestion and high temperature and jettery

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Survey response — day 28, dose 4
MedDRA: Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: High body temperature for 3 days

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — day 42, dose 4
Feeling: Poor

Adult check-in
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-06
Survey response — 6 months, dose 4
MedDRA: Medical counselling, Muscle strength abnormal, Neuritis — Feeling: Poor · Be unable to work or attend school

Free text: Left side of my face lacks muscle strength to show expression. Dr. Said something about the nerve being inflamed by something.

MedDRA releases: 2024-11 · check-in free text available
2023-04-07
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-06-17	Pfizer-BioNTech
3	2021-10-25	Pfizer-BioNTech	Flu
4	2022-04-07	Pfizer-BioNTech	No

Free text

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Had rash for awhile

Release 9 — days 1–6 daily, dose 2

2021-06-18

Systemic reaction (other): Off and on numbness in left leg

2021-06-20

Systemic reaction (other): Lower back pain (not really hurting real bad)

2021-06-21

Systemic reaction (other): Just a little more tired than normal and a mild headache.

2021-06-23

Systemic reaction (other): Feeling a little more tired than usual

Release 9 — day 7, dose 2

2021-06-24

Systemic reaction (other): Had rash for a while before COVID-19

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: High temperature, chest congestion a for past 4 days. Congestion had for a while, only a little bit more.

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): No

Release 11 — day 21, dose 4

2022-04-28

Symptoms: Stuffed head, sinus congestion and high temperature and jettery

Release 11 — day 28, dose 4

2022-05-05

Symptoms: High body temperature for 3 days

Release 12 — 6 months, dose 4

2022-10-06

Symptoms: Left side of my face lacks muscle strength to show expression. Dr. Said something about the nerve being inflamed by something.

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	Feeling jittery	·	·	✓
SD	Medical counselling	·	·	✓
SD	Muscle strength abnormal	·	·	✓
SD	Neuritis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓

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