5JV-20052-75624

5 vaccinations 14 coded responses 56 check-ins 14 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 953 / CA
Registered: 2021-03-21

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Pfizer-BioNTech
2021-03-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Skin warm — Feeling: Good · Site: Swelling

Free text: At I he toon site, skin is warmer than surrounding area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-11
Survey response — day 21, dose 1
MedDRA: Arthralgia, Back pain — Feeling: Good

Free text: Mild achy joints. Mild lower back ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Dose 2 — Pfizer-BioNTech
2021-04-18
Survey response — day 0, dose 2
MedDRA: Injection site warmth — Feeling: Good

Free text: Skin is warm at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Mild pain when touched at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Site: Pain, Swelling

Free text: Pain to the touch and swelling at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fever · Headache

Free text: Pain is just at the I he Tun site and to the touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 7, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-09
Survey response — day 21, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Rash in the inside of my right arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Moderate Achy joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-18
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain, headaches, muscle aches

MedDRA releases: 2024-11 · check-in free text available
2021-09-02
Dose 3 — Pfizer-BioNTech
2021-09-02
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-09-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-09-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-30
Survey response — day 28, dose 3
MedDRA: Fatigue, Headache, Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Insomnia, tired, headaches

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-03
Survey response — 6 months, dose 3
MedDRA: Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Wheezing

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — day 14, dose 4
MedDRA: Asthma, Medical counselling, Pre-existing disease, Sinus disorder — Feeling: Good · Be unable to work or attend school, 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: Symptoms: Sinus issues, asthma flare ups more than usual/average. · Healthcare visit (other): Advice nurse also

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-20
Call 1 — Left Voicemail
2022-04-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-14
Dose 5 — Pfizer-BioNTech
2022-09-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache

Adult check-in
2022-09-18
Survey response — days 1–6 daily, dose 5
MedDRA: Anxiety, Panic attack — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school

Free text: Not sure if related but had a panic attack. Anxiety has flared up for the last 3 days.

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-09-21
Health check-in — day 7, dose 5
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-09-28
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-05
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-12
Survey response — day 28, dose 5
MedDRA: Asthma, Dyspnoea — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mild Asthma like symptoms. Not able to take a deep normal breath.

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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-13
Call 2 — Left Voicemail
2022-10-13
Call 1 — Left Voicemail
2022-10-19
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-18	Pfizer-BioNTech
3	2021-09-02	Pfizer-BioNTech	No
4	2022-03-30	Pfizer-BioNTech	No
5	2022-09-14	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): At I he toon site, skin is warmer than surrounding area.

Release 7 — day 21, dose 1

2021-04-11

Symptoms: Mild achy joints. Mild lower back ache.

Release 7 — day 0, dose 2

2021-04-18

Systemic reaction (other): Skin is warm at injection site

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Mild pain when touched at injection site

2021-04-22

Systemic reaction (other): Pain to the touch and swelling at injection site

2021-04-24

Systemic reaction (other): Pain is just at the I he Tun site and to the touch.

Release 8 — day 21, dose 2

2021-05-09

Symptoms: Rash in the inside of my right arm.

Release 8 — day 28, dose 2

2021-05-16

Symptoms: Moderate Achy joints

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: Joint pain, headaches, muscle aches

Release 9 — day 28, dose 3

2021-09-30

Symptoms: Insomnia, tired, headaches

Release 11 — 6 months, dose 3

2022-03-03

Symptoms: Wheezing

Release 11 — day 14, dose 4

2022-04-14

Symptoms: Sinus issues, asthma flare ups more than usual/average.

Healthcare visit (other): Advice nurse also

Release 12 — days 1–6 daily, dose 5

2022-09-18

Systemic reaction (other): Not sure if related but had a panic attack. Anxiety has flared up for the last 3 days.

Release 12 — day 28, dose 5

2022-10-12

Symptoms: Mild Asthma like symptoms. Not able to take a deep normal breath.

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	Medical counselling	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthma	·	·	✓
SD	Back pain	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Myalgia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Wheezing	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Panic attack	·	·	✓
SRO	Skin warm	✓	✓	✓

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