578-26826-52792

5 vaccinations 5 coded responses 44 check-ins 5 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 483 / MI
Registered: 2021-01-13

Relationship: Self
Race: Black or African American
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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Pfizer-BioNTech
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Pfizer-BioNTech
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Unsure if related, don't recall any aggravating activity to cause lower back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 7, dose 2
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: Same as reported yesterday. Pain is less severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 35, dose 2
MedDRA: Abdominal pain lower, Abdominal pain upper — Feeling: Fair

Free text: Lower stomach pain and cramping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: In the past 3 weeks I've had diarrhea twice. Not sure of cause. I will change filter in Brita water cannister. Since the current episode, I'm only drinking water from a different filtered source, or bottled.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-24
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-29
Survey response — day 35, dose 3
MedDRA: Injection site pain — Feeling: Good

Free text: I took the 2nd and final (in the series) pneumonia vaccination on 10/28/2021 and the area surrounding the injection site was extremely sore overnight, but is now beginning to feel better.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-07
Dose 4 — Pfizer-BioNTech
2022-04-17
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 21, dose 4
Feeling: Good

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

Adult check-in
2022-05-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 42, dose 4
Feeling: Good

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

Adult check-in
2022-09-07
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-14
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-28
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-05
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-08
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-08
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Pfizer-BioNTech
2	2021-02-03	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	Flu
4	2022-04-07	Pfizer-BioNTech	No
5	2022-09-07	Pfizer-BioNTech	Flu

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Unsure if related, don't recall any aggravating activity to cause lower back pain.

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): Same as reported yesterday. Pain is less severe.

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Lower stomach pain and cramping.

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: In the past 3 weeks I've had diarrhea twice. Not sure of cause. I will change filter in Brita water cannister. Since the current episode, I'm only drinking water from a different filtered source, or bottled.

Release 10 — day 35, dose 3

2021-10-29

Symptoms: I took the 2nd and final (in the series) pneumonia vaccination on 10/28/2021 and the area surrounding the injection site was extremely sore overnight, but is now beginning to feel better.

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	Abdominal pain lower	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Diarrhoea	✓	·	✓
SD	Injection site pain	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Pain	✓	✓	✓

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