5BQ-13497-76650

5 vaccinations 16 coded responses 45 check-ins 16 free-text entries 5 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 473 / IN
Registered: 2021-02-02

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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-02
Health check-in — day 0, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness

Free text: Short breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-23
Health check-in — day 0, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Diarrhea

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-09
Survey response — day 14, dose 2
MedDRA: Blood glucose abnormal, Dyspnoea, Fatigue — Feeling: Good

Free text: Blood sugar has gone whacko. Heavy fatigue during the day. Shortness of breath with mild activity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 21, dose 2
MedDRA: Blood glucose increased — Feeling: Fair

Free text: My blood sugar has shot up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 28, dose 2
MedDRA: Blood glucose increased, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My blood sugar has gone through the roof. · Healthcare visit (other): Waiting on appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-04-06
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Influenza, Nasal congestion, Respiratory tract congestion, Viral infection, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I contacted a flu or virus that caused heavy nasal and chest congestion. I had heavy vomiting that lasted 8 hrs. Diarrhea that lasted 36 hrs.Day 7, I am on different meds. Feeling not much better

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

1 call case(s)
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Blood glucose increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Blood sugar shot up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-06-17
Call 1 — Left Voicemail
2021-06-17
Call 1 — Left Voicemail
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: I just got the shot 10 minutes ago.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Muscle or body aches

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-17
Health check-in — day 14, dose 3
Feeling: Poor

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-13
Survey response — day 42, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — 3 months, dose 3
MedDRA: Chest pain, Cough, Musculoskeletal stiffness, Nausea — Feeling: Poor

Free text: Coughing, burning chest pain, nausea,and stiffness.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Survey response — 6 months, dose 3
MedDRA: Diabetes mellitus inadequate control, Fatigue — Feeling: Good

Free text: Extreme fatigue, trouble controlling type2 diabetes.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-05-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-14
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-28
Survey response — day 14, dose 5
MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have covid

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Report sent to call center — day 14, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-29
Call 2 — Left Voicemail
2022-09-29
Call 2 — Left Voicemail
2022-09-29
Call 2 — Left Voicemail
2022-09-29
Call 1 — Left Voicemail
2022-09-30
Call 3 — Left Voicemail
2022-09-30
Call 3 — Left Voicemail
2022-09-30
Call 3 — Left Voicemail
2022-09-30
Call 2 — Left Voicemail
2022-10-05
Survey response — day 21, dose 5
MedDRA: Pulmonary pain — Feeling: Poor

Free text: Lung hurts

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — day 28, dose 5
MedDRA: Fatigue, Pulmonary pain, Respiratory tract congestion — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Heavy congestion. Right lung hurts. Heavy fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Report sent to call center — day 28, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-13
Call X — Left Voicemail
2022-10-13
Call X — Left Voicemail
2022-10-13
Call X — Left Voicemail
2022-10-13
Call 3 — Left Voicemail
2022-10-13
Call 1 — Left Voicemail
2022-10-19
Survey response — day 35, dose 5
MedDRA: COVID-19, Chest pain, Fatigue, Influenza like illness, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Having a relapse after having Covid. Right chest pain. Soar throat. Flu like symptoms. Fatigued.

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No
5	2022-09-14	Pfizer-BioNTech	Flu

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Short breath

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Cough

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Blood sugar has gone whacko. Heavy fatigue during the day. Shortness of breath with mild activity.

Release 5 — day 21, dose 2

2021-03-16

Symptoms: My blood sugar has shot up

Release 6 — day 28, dose 2

2021-03-23

Symptoms: My blood sugar has gone through the roof.

Healthcare visit (other): Waiting on appointment

Release 7 — day 42, dose 2

2021-04-06

Symptoms: I contacted a flu or virus that caused heavy nasal and chest congestion. I had heavy vomiting that lasted 8 hrs. Diarrhea that lasted 36 hrs.Day 7, I am on different meds. Feeling not much better

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Blood sugar shot up

Release 9 — day 0, dose 3

2021-10-01

Systemic reaction (other): I just got the shot 10 minutes ago.

Release 10 — days 1–6 daily, dose 3

2021-10-07

Systemic reaction (other): Runny nose

Release 10 — day 42, dose 3

2021-11-13

Symptoms: Fatigue

Release 10 — 3 months, dose 3

2022-01-02

Symptoms: Coughing, burning chest pain, nausea,and stiffness.

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Extreme fatigue, trouble controlling type2 diabetes.

Release 12 — day 14, dose 5

2022-09-28

Symptoms: I have covid

Release 12 — day 21, dose 5

2022-10-05

Symptoms: Lung hurts

Release 12 — day 28, dose 5

2022-10-12

Symptoms: Heavy congestion. Right lung hurts. Heavy fatigue.

Release 12 — day 35, dose 5

2022-10-19

Symptoms: Having a relapse after having Covid. Right chest pain. Soar throat. Flu like symptoms. Fatigued.

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	Unevaluable event	✓	✓	✓
SD	Blood glucose abnormal	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diabetes mellitus inadequate control	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Influenza	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pulmonary pain	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Viral infection	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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