5QE-23491-48715

4 vaccinations 12 coded responses 36 check-ins 12 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 156 / PA
Registered: 2021-03-23

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-23
Registered in v-safe
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Developed 3 cold sores on lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Lip erythema, Oral herpes, Pain, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I still have the red and sore spots on my upper and lower lips. They feel like cold or fever blisters but none have broken open. Also, please be aware that I have Rheumatoid Arthritis which is the source of most of my aches and pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain, Tenderness — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still have four red and tender-to-touch spots on my lips. They look like cold sores or possibly worse; ( trench mouth). None have brokren open or bled. Throat is just a little sore. (Reminder, I have Rheumatoid Arthritis).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Rhinorrhoea — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Runny nose. Not sleeping well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Very tired today even after 8 hours sleep last nite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Exercise tolerance decreased, Fatigue, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tiring with moderate activity. (Please note that I have Rheumatoid Arthritis).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Fatigue, Myalgia — Feeling: Fair

Free text: Continuing fatigue and tiredness and muscle aches and pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-15
Dose 3 — Pfizer-BioNTech
2022-04-12
Survey response — 12 months, dose 2
MedDRA: Dizziness, Medical observation, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Had a bout with Vertigo in Late Sept, 2021. Dizzy spells have subsided about 3 weeks ago. · Healthcare visit (other): Kept overnight fo observations.

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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-27
Dose 4 — Pfizer-BioNTech
2022-09-27
Health check-in — day 0, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-30
Survey response — days 1–6 daily, dose 4
MedDRA: Rheumatoid arthritis — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Rheumatoid Arthritis

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have Rheumatoid Arthritis.

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-11
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-18
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-25
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-01
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-08
Health check-in — day 42, dose 4
Feeling: Poor

Adult check-in
2022-12-27
Survey response — 3 months, dose 4
MedDRA: Bronchitis, Influenza A virus test negative, Influenza B virus test negative, Respiratory disorder, SARS-CoV-2 test negative, Unevaluable event — Feeling: Fair · 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: I had an upper repository condition and got tested for Covid and for flu, type A and type B. All test results came back negative. I was then treated for Bronchitis. It took 3 weeks to get over it. · Healthcare visit (other): Swb tested outside of Doctors office.

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Report sent to call center — 3 months, dose 4
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)
2022-12-28
Call 1 — Left Voicemail
2022-12-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-28
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2021-10-15	Pfizer-BioNTech	No
4	2022-09-27	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Developed 3 cold sores on lips

2021-03-27

Systemic reaction (other): I still have the red and sore spots on my upper and lower lips. They feel like cold or fever blisters but none have broken open. Also, please be aware that I have Rheumatoid Arthritis which is the source of most of my aches and pains.

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): Still have four red and tender-to-touch spots on my lips. They look like cold sores or possibly worse; ( trench mouth). None have brokren open or bled. Throat is just a little sore. (Reminder, I have Rheumatoid Arthritis).

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Runny nose. Not sleeping well.

2021-04-17

Systemic reaction (other): Very tired today even after 8 hours sleep last nite.

2021-04-18

Systemic reaction (other): Tiring with moderate activity. (Please note that I have Rheumatoid Arthritis).

Release 7 — day 7, dose 2

2021-04-19

Systemic reaction (other): Very tired.

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Continuing fatigue and tiredness and muscle aches and pains.

Release 11 — 12 months, dose 2

2022-04-12

Symptoms: Had a bout with Vertigo in Late Sept, 2021. Dizzy spells have subsided about 3 weeks ago.

Healthcare visit (other): Kept overnight fo observations.

Release 12 — days 1–6 daily, dose 4

2022-09-30

Systemic reaction (other): Rheumatoid Arthritis

2022-10-02

Systemic reaction (other): I have Rheumatoid Arthritis.

Release 12 — 3 months, dose 4

2022-12-27

Symptoms: I had an upper repository condition and got tested for Covid and for flu, type A and type B. All test results came back negative. I was then treated for Bronchitis. It took 3 weeks to get over it.

Healthcare visit (other): Swb tested outside of Doctors office.

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 observation	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Bronchitis	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Influenza A virus test negative	·	·	✓
SD	Influenza B virus test negative	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vertigo	·	·	✓
SRO	Exercise tolerance decreased	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lip erythema	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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