5BQ-12963-68185

4 vaccinations 15 coded responses 34 check-ins 13 free-text entries 3 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 782 / TX
Registered: 2021-04-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

4F4-27989-83752 Child or adolescent in my care · Male · 2022-04-28

KAW-29201-92920 Adult relative or friend · Female · 2022-04-28

CSZ-33380-81088 Child or adolescent in my care · Female · 2022-10-14

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-07
Registered in v-safe
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Diarrhea

Free text: Cold symptoms; congestion and cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Good · Diarrhea

Free text: Congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Diarrhea

Free text: Congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Diarrhea

Free text: Congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Diarrhea

Free text: More congestion and coughing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-27
Survey response — day 21, dose 1
MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Fierce diarrhea this past Sunday, quelled with two doses of imodium.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Free text: Imodium wore off. Still an issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Faeces discoloured, Fatigue, Hot flush, Malaise, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: 8-10 May:Fatigue, malaise, and hot flashes; no fever.11th to present:Continued loose stools with dark color; blood not suspected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 21, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: The children somehow got hand foot and mouth. I believe we are at the cusp at having it ourselves. Loose stools diarrhea have continued.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 42, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea still persisting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-24
Dose 3 — Pfizer-BioNTech
2022-04-28
Survey response — 12 months, dose 2
MedDRA: SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Nothing pertaining to COVID. Still haven't caught it as far as we've been told from swabs and prescreening when being checked out. Same for my wife, 6yr old, and 2yr old. The 2yr old is, of course, unvaccinated as one isn't available yet.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-24
Survey response — 6 months, dose 3
MedDRA: Ageusia, Anosmia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lost sense if taste and smell, slowly coming back; 3 June to present. I regained sour by the 8th, spice around the 12th, sweet started to come back on the 20th, but not completely. Test negative on a rapid test 4 June. Neg PCR on 15 June for surgery.

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-27
Call 1 — Left Voicemail
2022-06-27
Call 1 — Left Voicemail
2022-10-11
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Diarrhea

Adult check-in
2022-10-19
Health check-in — day 7, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-10-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-23
Survey response — day 42, dose 4
MedDRA: Arthralgia, Chills, Cough, Discharge, Feeling cold, Hot flush, Myalgia, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Started 18 Nov; evening. Cough, drainage, cold chills and hot flashes with no detectable fever, minor body aches; muscles and joints. 23 Nov Body aches are present, but almost gone. Chills and hot flashes seem to be gone. Cough has worsened... More

MedDRA releases: 2024-11 · check-in free text available
2023-01-11
Survey response — 3 months, dose 4
MedDRA: COVID-19, Influenza — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-17
Survey response — 6 months, dose 4
MedDRA: Cough, Discharge, Office visit, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech
3	2021-12-24	Pfizer-BioNTech	No
4	2022-10-11	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Cold symptoms; congestion and cough.

2021-04-10

Systemic reaction (other): Congestion and cough

2021-04-11

Systemic reaction (other): Congestion and cough

2021-04-12

Systemic reaction (other): Congestion and cough

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): More congestion and coughing.

Release 8 — day 21, dose 1

2021-04-27

Symptoms: Fierce diarrhea this past Sunday, quelled with two doses of imodium.

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Imodium wore off. Still an issue.

Release 8 — day 14, dose 2

2021-05-12

Symptoms: 8-10 May:Fatigue, malaise, and hot flashes; no fever.11th to present:Continued loose stools with dark color; blood not suspected.

Release 8 — day 21, dose 2

2021-05-19

Symptoms: The children somehow got hand foot and mouth. I believe we are at the cusp at having it ourselves. Loose stools diarrhea have continued.

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Diarrhea still persisting.

Release 11 — 12 months, dose 2

2022-04-28

Symptoms: Nothing pertaining to COVID. Still haven't caught it as far as we've been told from swabs and prescreening when being checked out. Same for my wife, 6yr old, and 2yr old. The 2yr old is, of course, unvaccinated as one isn't available yet.

Release 12 — 6 months, dose 3

2022-06-24

Symptoms: Lost sense if taste and smell, slowly coming back; 3 June to present. I regained sour by the 8th, spice around the 12th, sweet started to come back on the 20th, but not completely. Test negative on a rapid test 4 June. Neg PCR on 15 June for surgery. cut off by CDC

Release 12 — day 42, dose 4

2022-11-23

Symptoms: Started 18 Nov; evening. Cough, drainage, cold chills and hot flashes with no detectable fever, minor body aches; muscles and joints. 23 Nov Body aches are present, but almost gone. Chills and hot flashes seem to be gone. Cough has worsened... More cut off by CDC

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Discharge	·	·	✓
SD	Faeces discoloured	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	·	·	✓
SD	Hot flush	✓	✓	✓
SD	Influenza	·	·	✓
SD	Malaise	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Nasal congestion	○	✓	○
SRO	Nasopharyngitis	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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