4UL-33222-20613

5 vaccinations 6 coded responses 31 check-ins 6 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 322 / FL
Registered: 2021-04-23

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

2021-04-23
Registered in v-safe
2021-04-23
Dose 1 — Pfizer-BioNTech
2021-04-23
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-14
Dose 2 — Pfizer-BioNTech
2021-05-14
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Hypersomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Been frezzing most of the day sat and sun. Also spent most of the last two days in bed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — day 35, dose 2
MedDRA: Arthralgia, Neck pain, Pain in extremity — Feeling: Poor

Free text: Almost unbearable pain in my upper left arm, neck and shoulder the last few days. Have no choice but work cant afford to miss any time. Will most likely go to ER this weekend.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — day 42, dose 2
MedDRA: Emergency care, Feeling hot, Hypoaesthesia, Injection site pain, Paraesthesia — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Extreme pain in the arm region of my shot to include some tingle numbness in my thumb. Hot so bad last friday i went to the ER with no sucees in dealing with the pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail
2021-08-15
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Chest pain, Hypoaesthesia, Neck pain, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I experienced extreme pain all down my left arm, left shoulder and back of my neck and alittle in my chest. Along with numbness to my left thumb and wrist area. I had both shits in my left arm.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 1 — Could Not Reach Participant
2021-08-24
Call 2 — Could Not Reach Participant
2021-12-06
Dose 3 — Pfizer-BioNTech
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-10
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-10
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-10-10
Health check-in — day 0, dose 5
Feeling: Fair · Chills

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — day 7, dose 5
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2022-10-24
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-31
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Pfizer-BioNTech
2	2021-05-14	Pfizer-BioNTech
3	2021-12-06	Pfizer-BioNTech	No
4	2022-04-08	Pfizer-BioNTech	No
5	2022-10-10	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-23

Systemic reaction (other): No

Release 8 — days 1–6 daily, dose 1

2021-04-28

Systemic reaction (other): Sore throat

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): Been frezzing most of the day sat and sun. Also spent most of the last two days in bed.

Release 9 — day 35, dose 2

2021-06-18

Symptoms: Almost unbearable pain in my upper left arm, neck and shoulder the last few days. Have no choice but work cant afford to miss any time. Will most likely go to ER this weekend.

Release 9 — day 42, dose 2

2021-06-25

Symptoms: Extreme pain in the arm region of my shot to include some tingle numbness in my thumb. Hot so bad last friday i went to the ER with no sucees in dealing with the pain.

Release 9 — 3 months, dose 2

2021-08-15

Symptoms: I experienced extreme pain all down my left arm, left shoulder and back of my neck and alittle in my chest. Along with numbness to my left thumb and wrist area. I had both shits in my left arm.

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	Arthralgia	✓	✓	✓
SD	Chest pain	✓	·	✓
SD	Emergency care	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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