4GG-25477-35145

4 vaccinations 15 coded responses 26 check-ins 14 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 891 / NV
Registered: 2022-01-21

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

2021-02-12
Dose 1 — Pfizer-BioNTech
2021-03-05
Dose 2 — Pfizer-BioNTech
2022-01-18
Dose 3 — Pfizer-BioNTech
2022-01-21
Registered in v-safe
2022-01-22
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: Nonu

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — day 7, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-19
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Influenza, Office visit, Pulmonary congestion, Rhinorrhoea, SARS-CoV-2 test negative — 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

Free text: Coughing, congestion in lungs runny, nose and fatigue. I did a self test for Covid three days ago and it came back negative I went to urgent care yesterday and they say I have the flu. They tested again for COVID-19 but it will be a couple of days be

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — 3 months, dose 3
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)
2022-04-28
Call 1 — Left Voicemail
2022-06-20
Dose 4 — Pfizer-BioNTech
2022-06-20
Survey response — day 0, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-19
Survey response — 3 months, dose 4
MedDRA: Antinuclear antibody positive, Blood test abnormal, Joint swelling, Muscular weakness, Office visit, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Bloodwork done on me recently showed me to be ANA positive. I will be seeing a rheumatologist doctor in a couple of weeks. I also am having some swelling in the feet and ankles and weakness in my legs. I am currently seeing a neurologist for that. · Healthcare visit (other): I have seen the neurologist three times in the past month and his office.

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-20
Call 1 — Requested Callback
2022-09-20
Callback requested for
04:04PM ET
2022-09-21
Call 2 — Could Not Reach Participant
2022-09-21
Call 2 — Could Not Reach Participant
2022-12-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-20
Survey response — 12 months, dose 4
MedDRA: Office visit, Sinusitis — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Pfizer-BioNTech	No
2	2021-03-05	Pfizer-BioNTech	No
3	2022-01-18	Pfizer-BioNTech	No
4	2022-06-20	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 11 — days 1–6 daily, dose 3

2022-01-22

Systemic reaction (other): Nonu

2022-01-23

Systemic reaction (other): None

2022-01-24

Systemic reaction (other): None

Release 11 — day 7, dose 3

2022-01-25

Systemic reaction (other): None

Release 11 — 3 months, dose 3

2022-04-19

Symptoms: Coughing, congestion in lungs runny, nose and fatigue. I did a self test for Covid three days ago and it came back negative I went to urgent care yesterday and they say I have the flu. They tested again for COVID-19 but it will be a couple of days be cut off by CDC

Release 12 — day 0, dose 4

2022-06-20

Systemic reaction (other): No

Release 12 — days 1–6 daily, dose 4

2022-06-21

2022-06-22

Systemic reaction (other): No

Release 12 — day 7, dose 4

2022-06-27

Release 12 — 3 months, dose 4

2022-09-19

Symptoms: Bloodwork done on me recently showed me to be ANA positive. I will be seeing a rheumatologist doctor in a couple of weeks. I also am having some swelling in the feet and ankles and weakness in my legs. I am currently seeing a neurologist for that.

Healthcare visit (other): I have seen the neurologist three times in the past month and his office.

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	Office visit	·	·	✓
SD	Antinuclear antibody positive	·	·	✓
SD	Blood test abnormal	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Influenza	·	·	✓
SD	Joint swelling	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Office visit	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pulmonary congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SRO	No adverse event	·	·	✓

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