5CH-15647-50658

5 vaccinations 8 coded responses 61 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 030 / NH
Registered: 2021-01-31

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

2021-01-29
Dose 1 — Pfizer-BioNTech
2021-01-31
Registered in v-safe
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

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

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

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Pfizer-BioNTech
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 21, dose 2
MedDRA: Rash, Rash pruritic, Specialist consultation — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Itchy rash on my arm and torso, same side as the injection site · Healthcare visit (other): Office visit with my PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 28, dose 2
MedDRA: Office visit, Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Itchy rash spreading down my torso and to the top of my leg on the side of the injection site · Healthcare visit (other): In person office visit with my PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — day 35, dose 2
MedDRA: Injection site pruritus, Injection site rash, Self-medication — Feeling: Good

Free text: Rash on injection site arm continues to flair up and spread around the arm. I am treating the itching with topical medicine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 42, dose 2
MedDRA: Rash pruritic — Feeling: Good

Free text: Itchy rash on my arm and torso, same side as the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — 3 months, dose 2
MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Red itchy rash on my injection site arm, spread to my torso

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-16
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 · Site: Swelling

Free text: None

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, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-16
Health check-in — day 14, dose 3
Feeling: Good

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
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-04
Call 1 — Left Voicemail
2022-01-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-23
Dose 4 — Pfizer-BioNTech
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Chills

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-28
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-30
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-17
Dose 5 — Pfizer-BioNTech
2022-10-17
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness · Fever · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-24
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-31
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-17
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-17
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-15	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-05-23	Pfizer-BioNTech	No
5	2022-10-17	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 21, dose 2

2021-03-08

Symptoms: Itchy rash on my arm and torso, same side as the injection site

Healthcare visit (other): Office visit with my PCP

Release 5 — day 28, dose 2

2021-03-15

Symptoms: Itchy rash spreading down my torso and to the top of my leg on the side of the injection site

Healthcare visit (other): In person office visit with my PCP

Release 6 — day 35, dose 2

2021-03-22

Symptoms: Rash on injection site arm continues to flair up and spread around the arm. I am treating the itching with topical medicine.

Release 6 — day 42, dose 2

2021-03-29

Symptoms: Itchy rash on my arm and torso, same side as the injection site

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: Red itchy rash on my injection site arm, spread to my torso

Release 9 — day 0, dose 3

2021-10-01

Systemic reaction (other): None

Release 11 — days 1–6 daily, dose 4

2022-05-28

Systemic reaction (other): None

Release 11 — day 7, dose 4

2022-05-30

Systemic reaction (other): None

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	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	No adverse event	·	·	✓

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