4SN-31954-19239

3 vaccinations 7 coded responses 36 check-ins 7 free-text entries 0 call cases

Sex: Male
Age at first dose: 16-20
ZIP prefix: 782 / TX
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches · Be unable to work

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · None · Be unable to work

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to work

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site discolouration — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Bruise Discoloration at Injection Site, size of a Dime

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Survey response — day 7, dose 1
MedDRA: Injection site bruising, Injection site discolouration — Feeling: Good · Site: Pain

Free text: Its been a week and a yellow bruise has grown to the size of 2 quarters at the site. It had no bruise the first 3 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Upper-airway cough syndrome — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Intense Post-Nasal Drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
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
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 42, dose 2
MedDRA: Feeling hot, Upper-airway cough syndrome — Feeling: Good

Free text: Likely allergies but havent had it before, excessive post nasal drip and hot feeling a few days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-07
Dose 3 — Pfizer-BioNTech
2022-01-07
Health check-in — day 0, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · None · Be unable to work or attend school

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-12
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling hot — Feeling: Poor · Fever

Free text: Very hot in the neck and head, kept ice on neck.

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-14
Health check-in — day 7, dose 3
Feeling: Fair · Nausea

Adult check-in
2022-01-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-28
Survey response — day 21, dose 3
MedDRA: Feeling hot — Feeling: Fair

Free text: Occasional intense hotness in neck and face but it could because of Adderall 30mg, I just don't remember getting it with my Adderall before. I have taken Adderall 5 out of 7 days weekly for more than a year.

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-10
Survey response — 6 months, dose 3
MedDRA: Anxiety, Dizziness — Feeling: Good

Free text: Occasional Dizziness likely Anxiety Related.

MedDRA releases: 2024-11 · check-in free text available
2023-01-07
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2022-01-07	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Bruise Discoloration at Injection Site, size of a Dime

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): Its been a week and a yellow bruise has grown to the size of 2 quarters at the site. It had no bruise the first 3 days.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Intense Post-Nasal Drip

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Likely allergies but havent had it before, excessive post nasal drip and hot feeling a few days ago.

Release 10 — days 1–6 daily, dose 3

2022-01-12

Systemic reaction (other): Very hot in the neck and head, kept ice on neck.

Release 11 — day 21, dose 3

2022-01-28

Symptoms: Occasional intense hotness in neck and face but it could because of Adderall 30mg, I just don't remember getting it with my Adderall before. I have taken Adderall 5 out of 7 days weekly for more than a year.

Release 12 — 6 months, dose 3

2022-07-10

Symptoms: Occasional Dizziness likely Anxiety Related.

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	Anxiety	·	·	✓
SD	Dizziness	·	·	✓
SD	Feeling hot	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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