4HU-89038-33090

4 vaccinations 15 coded responses 41 check-ins 15 free-text entries 0 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 601 / IL
Registered: 2021-05-23

Relationship: Self
Race: Black or African American
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

2021-05-23
Registered in v-safe
2021-05-23
Dose 1 — Pfizer-BioNTech
2021-05-23
Survey response — day 0, dose 1
MedDRA: Dry throat, Ear dryness, Ear pruritus, Paranasal sinus hypersecretion, Throat irritation — Feeling: Good

Free text: Opening and clearing of sinuses, some dryness scratchiness of throat & left ear on same left arm side shot was received, felt as if I'd taken an antihistamine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Fever · Nausea

Free text: Briefly dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain, Itching · Headache

Free text: Feelings as if I've taken an anti-histamine continue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dry throat, Increased upper airway secretion — Feeling: Good · Site: Pain, Itching

Free text: Anti-histamine feeling continues, able to breath equally through both nostrils usually it's one more than another, bringing up less secretions than before and throat less dry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-13
Dose 2 — Pfizer-BioNTech
2021-06-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-06-16
Survey response — days 1–6 daily, dose 2
MedDRA: Sputum discoloured — Feeling: Good

Free text: Mild feeling as if I've taken an antihistamine, lungs clearing small to moderate amounts of secretions varying between thick and or thin. Secretion colors have varied between clear, cloudy, white or yellow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-20
Survey response — day 7, dose 2
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose for a week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-12
Survey response — 3 months, dose 2
MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Secretion discharge, Sneezing — Feeling: Good

Free text: Recovering from a cold, started Monday sneezing, sore throat, stuffy nose & mucous(clear, cloudy & thick) no fever. Feeling much better no medication taken.

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Dizziness, Malaise, Pruritus, Swollen tongue — Feeling: Good

Free text: For 2-3 days general malaise feeling, for 2-3 days mild diarrhea & slight tongue swelling, general itching & light headedness no fever

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Dose 3 — Pfizer-BioNTech
2021-12-19
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site swelling, Injection site warmth, Pruritus — Feeling: Good · Site: Swelling, Itching

Free text: I can see exactly where the shot was given, there's a large bump, the shot area is palpably hot & the general shoulder area itches moderately

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Dry throat, Epistaxis, Nasal dryness, Rhinorrhoea — Feeling: Good · Site: Pain, Itching

Free text: Alternating between dry nose & throat to runny nose with small amount of bright red blood tinged secretions when I blow my nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Dry throat, Oropharyngeal pain — Feeling: Good

Free text: Dry throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — days 1–6 daily, dose 3
MedDRA: Dry throat, Epistaxis, Increased viscosity of upper respiratory secretion, Nasal dryness, Rhinorrhoea — Feeling: Good · Site: Itching

Free text: Alternating between dry nose & throat and runny nose with scant blood tinge thick & thin white/clear mucous

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-09
Survey response — day 21, dose 3
MedDRA: Increased viscosity of upper respiratory secretion, Injection site pruritus, Rhinorrhoea, Secretion discharge — Feeling: Good

Free text: A heavy runny nose, itching in injection site area and varying amounts of thick & thin secretions.

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-19
Survey response — 6 months, dose 3
MedDRA: Therapeutic product effect decreased — Feeling: Good

Free text: The antihistamine affects have lessened

MedDRA releases: 2024-11 · check-in free text available
2022-08-07
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-02-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-23	Pfizer-BioNTech
2	2021-06-13	Pfizer-BioNTech
3	2021-12-19	Pfizer-BioNTech	No
4	2022-08-07	Pfizer-BioNTech	Flu

Free text

Release 8 — day 0, dose 1

2021-05-23

Systemic reaction (other): Opening and clearing of sinuses, some dryness scratchiness of throat & left ear on same left arm side shot was received, felt as if I'd taken an antihistamine

Release 8 — days 1–6 daily, dose 1

2021-05-24

Systemic reaction (other): Briefly dizzy

2021-05-25

Systemic reaction (other): Feelings as if I've taken an anti-histamine continue

2021-05-26

Systemic reaction (other): Anti-histamine feeling continues, able to breath equally through both nostrils usually it's one more than another, bringing up less secretions than before and throat less dry

Release 9 — days 1–6 daily, dose 2

2021-06-16

Systemic reaction (other): Mild feeling as if I've taken an antihistamine, lungs clearing small to moderate amounts of secretions varying between thick and or thin. Secretion colors have varied between clear, cloudy, white or yellow.

Release 9 — day 7, dose 2

2021-06-20

Systemic reaction (other): Runny nose for a week

Release 9 — 3 months, dose 2

2021-09-12

Symptoms: Recovering from a cold, started Monday sneezing, sore throat, stuffy nose & mucous(clear, cloudy & thick) no fever. Feeling much better no medication taken.

Release 10 — 6 months, dose 2

2021-12-12

Symptoms: For 2-3 days general malaise feeling, for 2-3 days mild diarrhea & slight tongue swelling, general itching & light headedness no fever

Release 10 — days 1–6 daily, dose 3

2021-12-20

Systemic reaction (other): I can see exactly where the shot was given, there's a large bump, the shot area is palpably hot & the general shoulder area itches moderately

2021-12-22

Systemic reaction (other): Alternating between dry nose & throat to runny nose with small amount of bright red blood tinged secretions when I blow my nose

2021-12-23

Systemic reaction (other): Runny nose

2021-12-24

Systemic reaction (other): Dry throat

2021-12-25

Systemic reaction (other): Alternating between dry nose & throat and runny nose with scant blood tinge thick & thin white/clear mucous

Release 10 — day 21, dose 3

2022-01-09

Symptoms: A heavy runny nose, itching in injection site area and varying amounts of thick & thin secretions.

Release 12 — 6 months, dose 3

2022-06-19

Symptoms: The antihistamine affects have lessened

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	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Increased viscosity of upper respiratory secretion	·	·	✓
SD	Injection site pruritus	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pruritus	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sneezing	·	·	✓
SD	Swollen tongue	·	·	✓
SD	Therapeutic product effect decreased	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Ear dryness	✓	✓	✓
SRO	Ear pruritus	✓	✓	✓
SRO	Epistaxis	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Increased upper airway secretion	✓	✓	✓
SRO	Increased viscosity of upper respiratory secretion	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Injection site warmth	·	·	✓
SRO	Nasal dryness	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sputum discoloured	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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