4R9-30846-05715

4 vaccinations 10 coded responses 25 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 068 / CT
Registered: 2021-04-26

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-26
Registered in v-safe
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Joint pains

Free text: Achiness on left shoulder where I received shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Slight Achiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 2
MedDRA: Arthralgia, Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Ache in shoulder when reaching, stretching left arm where I received vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue, Nasal congestion — Feeling: Good · Be unable to work

Free text: Sore shoulderNasal congestionSome fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Productive cough, Pulmonary oedema — Feeling: Good · Be unable to do your normal daily activities

Free text: Dry cough, phlegm/fluid in lungs & tired a bit... Could be heat/humidity

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Fatigue, Neck pain, Sinus congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue, neck pain & sinus congestion. But overall I believe my vaccination has helped me fend off symptom attacks. Maybe I'm contending w/allergies, IDK... Anyway to obtain a new vaxcard. Ruined current w/washing pants, where I left my card.

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Dose 3 — Pfizer-BioNTech
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Nasal congestion, Pain, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dry cough, runny/stuffy nose w/lots of sneezing for like 2 months! Fatigue & body ache... & this was after I received booster shot @ Rite Aid in January. I was informed on Dec. 16 that someone I worked with(unvaccinated), had contracted COVID...

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Dose 4 — Pfizer-BioNTech
2022-05-20
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Joint pains

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-26
Survey response — days 1–6 daily, dose 4
MedDRA: Pain, Self-medication — Feeling: Good · Muscle or body aches

Free text: Used CBD & THC products & they helped with aches and pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-06-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-17
Survey response — day 28, dose 4
MedDRA: Hypersomnia, Lethargy, Pulmonary congestion — Feeling: Good

Free text: Lethargic,... Lungs tend to be holding fluid/phlegm... Sleeping alot, but that could be moon cycle.

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-21
Survey response — 3 months, dose 4
MedDRA: Fatigue, Productive cough, Pulmonary oedema, Total lung capacity decreased, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Phlegm cough & Fluid in lungs. Lung capacity not as deep & strong. Fatigue at times. · Healthcare visit (other): Self medicate eventually.

MedDRA releases: 2024-11 · check-in free text available
2022-08-21
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-22
Call 1 — Could Not Reach Participant
2022-08-25
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2022-01-18	Pfizer-BioNTech	No
4	2022-05-20	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Achiness on left shoulder where I received shot

2021-04-28

Systemic reaction (other): Slight Achiness

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Ache in shoulder when reaching, stretching left arm where I received vaccine

Release 8 — day 28, dose 2

2021-05-24

Symptoms: Sore shoulderNasal congestionSome fatigue

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Dry cough, phlegm/fluid in lungs & tired a bit... Could be heat/humidity

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Fatigue, neck pain & sinus congestion. But overall I believe my vaccination has helped me fend off symptom attacks. Maybe I'm contending w/allergies, IDK... Anyway to obtain a new vaxcard. Ruined current w/washing pants, where I left my card.

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Dry cough, runny/stuffy nose w/lots of sneezing for like 2 months! Fatigue & body ache... & this was after I received booster shot @ Rite Aid in January. I was informed on Dec. 16 that someone I worked with(unvaccinated), had contracted COVID...

Release 11 — days 1–6 daily, dose 4

2022-05-26

Systemic reaction (other): Used CBD & THC products & they helped with aches and pain

Release 12 — day 28, dose 4

2022-06-17

Symptoms: Lethargic,... Lungs tend to be holding fluid/phlegm... Sleeping alot, but that could be moon cycle.

Release 12 — 3 months, dose 4

2022-08-21

Symptoms: Phlegm cough & Fluid in lungs. Lung capacity not as deep & strong. Fatigue at times.

Healthcare visit (other): Self medicate eventually.

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	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypersomnia	·	·	✓
SD	Lethargy	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Pulmonary congestion	·	·	✓
SD	Pulmonary oedema	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Total lung capacity decreased	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	·	·	✓

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