4XK-75990-99503

3 vaccinations 20 coded responses 23 check-ins 20 free-text entries 3 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 112 / NY
Registered: 2021-03-31

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

2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-31
Registered in v-safe
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Survey response — day 0, dose 2
MedDRA: Myalgia, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Aches, muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 14, dose 1
MedDRA: Myalgia — Feeling: Fair

Free text: After second dose, muscles ache

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

Free text: Jawline ached

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Right arm pit swollen since shot in right arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling in the right armpit. Less swelling than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness, Diarrhea

Free text: Armpit swelling is going down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Swelling in my armpit has gone down significantly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Diarrhea

Free text: The swelling in my armpit has gone down significantly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Joint pains

Free text: Swelling in my armpit has gone down completely

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

Adult check-in
2021-04-21
Survey response — day 21, dose 2
MedDRA: Eye swelling — Feeling: Fair

Free text: My eyes have swollen and darkened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 28, dose 2
MedDRA: Dark circles under eyes — Feeling: Fair

Free text: Darkening around both eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 35, dose 2
MedDRA: Arthralgia, Back pain — Feeling: Poor · Be unable to work

Free text: Pain in both knees and bwck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 42, dose 2
MedDRA: Arthralgia, Dark circles under eyes, Skin discolouration — Feeling: Fair · Be unable to work

Free text: Darkening aroind my eyes and knee/joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Lung disorder — Feeling: Good

Free text: Spots on my lungs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-03
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Back pain, Office visit, Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Constant back and knee pain. Sinus infection · Healthcare visit (other): Othopedist

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-12
Call 2 — Left Voicemail
2022-03-09
Dose 3 — Pfizer-BioNTech
2022-03-31
Survey response — 12 months, dose 2
MedDRA: Oedema peripheral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Left armpit was swollen for several says after the booster.

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-04-07
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-04-13
Survey response — day 35, dose 3
MedDRA: Axillary mass, Oedema peripheral — Feeling: Fair

Free text: Swelling/lump has retu3in left armpit

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — day 42, dose 3
MedDRA: Dyspnoea — Feeling: Fair · Be unable to work or attend school

Free text: Trouble breathing.

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Survey response — 3 months, dose 3
MedDRA: Asthma, Office visit, Sleep apnoea syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My doctor says i now have asthma and sleep apnea · Healthcare visit (other): Overnight doctor's office

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-09
Call 1 — Left Voicemail
2022-09-10
Survey response — 6 months, dose 3
MedDRA: Asthma, Sleep apnoea syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthma, sleep apnea

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-12
Call 1 — Left Voicemail
2022-09-12
Call 2 — Left Voicemail
2022-09-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2022-03-09	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-31

Symptoms: After second dose, muscles ache

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Aches, muscle pain

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Jawline ached

2021-04-02

Systemic reaction (other): Right arm pit swollen since shot in right arm

2021-04-03

Systemic reaction (other): Swelling in the right armpit. Less swelling than yesterday.

2021-04-04

Systemic reaction (other): Armpit swelling is going down.

2021-04-05

Systemic reaction (other): Swelling in my armpit has gone down significantly

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): The swelling in my armpit has gone down significantly

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Swelling in my armpit has gone down completely

Release 7 — day 21, dose 2

2021-04-21

Symptoms: My eyes have swollen and darkened.

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Darkening around both eyes

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Pain in both knees and bwck

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Darkening aroind my eyes and knee/joint pain

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Spots on my lungs

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: Constant back and knee pain. Sinus infection

Healthcare visit (other): Othopedist

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: Left armpit was swollen for several says after the booster.

Release 11 — day 35, dose 3

2022-04-13

Symptoms: Swelling/lump has retu3in left armpit

Release 11 — day 42, dose 3

2022-04-21

Symptoms: Trouble breathing.

Release 11 — 3 months, dose 3

2022-06-08

Symptoms: My doctor says i now have asthma and sleep apnea

Healthcare visit (other): Overnight doctor's office

Release 12 — 6 months, dose 3

2022-09-10

Symptoms: Asthma, sleep apnea

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	Office visit	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthma	·	·	✓
SD	Axillary mass	·	·	✓
SD	Back pain	✓	✓	✓
SD	Dark circles under eyes	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Eye swelling	✓	✓	✓
SD	Lung disorder	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oedema peripheral	·	·	✓
SD	Office visit	·	·	✓
SD	Sinusitis	·	·	✓
SD	Skin discolouration	✓	✓	✓
SD	Sleep apnoea syndrome	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓

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