4WG-27465-45660

4 vaccinations 8 coded responses 29 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 190 / PA
Registered: 2020-12-18

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

2020-12-18
Registered in v-safe
2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Survey response — day 14, dose 1
MedDRA: Fatigue, Nasal congestion — Feeling: Fair

Free text: Nasal congestion, mild fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-07
Survey response — day 0, dose 2
MedDRA: Nasal congestion — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Joint pains

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Left hip intermittant repetative achey pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-21
Survey response — day 14, dose 2
MedDRA: Cough, Nasal congestion — Feeling: Good

Free text: Cough with Nasal congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 21, dose 2
MedDRA: Nasal congestion, Pruritus, Rash — Feeling: Good

Free text: Continued nasal congestion and itchy skin on chest, back, legs and arms. Pimply break out on chest and abdomen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 42, dose 2
MedDRA: Pruritus, Rash — Feeling: Good

Free text: Itchy skin rash on chest.Overall itchy skin on head chest back and legs.

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

Adult check-in
2021-07-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Dose 3 — Pfizer-BioNTech
2022-01-07
Survey response — 12 months, dose 2
MedDRA: Cough variant asthma, Nasal congestion — Feeling: Good

Free text: Slightly increased nasal congestion and asthma related cough.

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Dose 4 — Pfizer-BioNTech
2022-04-20
Survey response — day 7, dose 4
MedDRA: Chills, Pain, Vaccine positive rechallenge — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chills and aches starting 12 hrs after 2nd, 3rd, and 4th shots which lasted 12 hrs. No symptoms today!

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-14
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-04-12	Pfizer-BioNTech	No

Free text

Release 1 — day 14, dose 1

2021-01-01

Symptoms: Nasal congestion, mild fatigue

Release 1 — day 0, dose 2

2021-01-07

Systemic reaction (other): Nasal congestion

Release 1 — days 1–6 daily, dose 2

2021-01-13

Systemic reaction (other): Left hip intermittant repetative achey pain

Release 2 — day 14, dose 2

2021-01-21

Symptoms: Cough with Nasal congestion.

Release 3 — day 21, dose 2

2021-01-30

Symptoms: Continued nasal congestion and itchy skin on chest, back, legs and arms. Pimply break out on chest and abdomen.

Release 4 — day 42, dose 2

2021-02-18

Symptoms: Itchy skin rash on chest.Overall itchy skin on head chest back and legs.

Release 10 — 12 months, dose 2

2022-01-07

Symptoms: Slightly increased nasal congestion and asthma related cough.

Release 11 — day 7, dose 4

2022-04-20

Systemic reaction (other): Chills and aches starting 12 hrs after 2nd, 3rd, and 4th shots which lasted 12 hrs. No symptoms today!

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	Cough	✓	✓	✓
SD	Cough variant asthma	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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