4NQ-26400-17960

4 vaccinations 13 coded responses 31 check-ins 12 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 038 / NH
Registered: 2021-03-22

Relationship: Self
Race: White
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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Tiredness, but certainly could probably be attributed to other issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Tremor — Feeling: Good · Site: Pain

Free text: Was shaky for about 10 minutes one hour after receiving the second dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node palpable, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches

Free text: Lymph nodes under arms seem affected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Tenderness — Feeling: Good · Site: Pain · Fever

Free text: Tenderness under both arms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Underarm (lymph nodes?) tenderness remains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Tenderness — Feeling: Good · Site: Pain

Free text: Underarms still tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 7, dose 2
MedDRA: Feeling cold, Feeling hot, Nasopharyngitis — Feeling: Good · Fatigue or tiredness

Free text: Seem to be either cold or hot still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 14, dose 2
MedDRA: Apathy, Balance disorder, Dizziness, Fatigue, Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Saturday, 4/24, I was exhausted, shaky, dizzy, and struggled with my balance. Sunday, 4/24, I felt much better, but am also exhausted/ unmotivated today(4/26).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Recently got an old fashioned cold. That never happened while I was wearing a mask!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-12
Dose 3 — Pfizer-BioNTech
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-06
Dose 4 — Pfizer-BioNTech
2022-06-24
Survey response — day 14, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tested positive for Covid on 06/20/22.

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-04
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-08
Survey response — 12 months, dose 4
MedDRA: Seasonal allergy — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-06-06	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): No

2021-03-24

Systemic reaction (other): No

2021-03-27

Systemic reaction (other): Tiredness, but certainly could probably be attributed to other issues.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Was shaky for about 10 minutes one hour after receiving the second dose.

2021-04-14

Systemic reaction (other): Lymph nodes under arms seem affected.

2021-04-15

Systemic reaction (other): Tenderness under both arms.

2021-04-16

Systemic reaction (other): Underarm (lymph nodes?) tenderness remains

2021-04-17

Systemic reaction (other): Underarms still tender.

Release 7 — day 7, dose 2

2021-04-19

Systemic reaction (other): Seem to be either cold or hot still.

Release 8 — day 14, dose 2

2021-04-26

Symptoms: Saturday, 4/24, I was exhausted, shaky, dizzy, and struggled with my balance. Sunday, 4/24, I felt much better, but am also exhausted/ unmotivated today(4/26).

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Recently got an old fashioned cold. That never happened while I was wearing a mask!

Release 12 — day 14, dose 4

2022-06-24

Symptoms: Tested positive for Covid on 06/20/22.

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	Apathy	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Seasonal allergy	·	·	✓
SD	Tremor	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymph node palpable	✓	✓	○
SRO	Lymphadenopathy	·	·	✓
SRO	Nasopharyngitis	✓	✓	○
SRO	No adverse event	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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