5XJ-26737-04870

5 vaccinations 29 coded responses 66 check-ins 28 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 021 / MA
Registered: 2021-04-01

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

Timeline

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-01
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Light headless

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling

Free text: Dizzy in the morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Headache

Free text: Dizzy

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Muscle or body aches

Free text: Soreness around injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good

Free text: Soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 1
MedDRA: Pain — Feeling: Good

Free text: Soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Survey response — day 0, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Fair · Site: Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Site: Pain, Redness · Joint pains

Free text: Knee pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Joint stiffness — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: Knee stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling — Feeling: Fair · Site: Pain, Swelling

Free text: Swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches

Free text: Swelling glands around my neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Light headless

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 35, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Little sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Asthenia, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body and muscle weakness

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-10-29
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Chills

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Excessive sweating

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Survey response — day 28, dose 3
MedDRA: Dyspnoea — Feeling: Fair

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — day 35, dose 3
MedDRA: Cough, Dyspnoea, Muscular weakness — Feeling: Fair

Free text: SOB, muscle weakness and periodic cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — day 42, dose 3
MedDRA: Alopecia, Amnesia, Chest discomfort, Insomnia, Rash — Feeling: Fair

Free text: Rash, short term memory loss, insomnia hair loss, chest tightness

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-24
Dose 4 — Pfizer-BioNTech
2022-04-24
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-01
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-29
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-05
Survey response — day 42, dose 4
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2024-11 · check-in free text available
2022-07-24
Survey response — 3 months, dose 4
MedDRA: Chest discomfort — Feeling: Good

Free text: Left chest tightness

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-18
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Cough, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough and shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing and shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — day 7, dose 5
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing and shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — day 14, dose 5
MedDRA: Dizziness — Feeling: Good

Free text: Lightheadness

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-11
Survey response — day 28, dose 5
MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
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)
2022-11-14
Call 1 — Could Not Reach Participant
2022-11-16
Call 2 — Could Not Reach Participant
2022-11-20
Survey response — day 35, dose 5
MedDRA: Dyspnoea, Pain — Feeling: Fair

Free text: Body aches and shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-13
Survey response — 3 months, dose 5
MedDRA: Arthralgia, Chest pain — Feeling: Fair

MedDRA releases: 2024-11
2023-04-14
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No
4	2022-04-24	Pfizer-BioNTech	No
5	2022-10-14	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Light headless

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Dizzy in the morning

2021-04-03

Systemic reaction (other): Dizzy

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Soreness around injection site

2021-04-07

Systemic reaction (other): Soreness

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Soreness

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): Sore throat

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Weakness

2021-04-25

Systemic reaction (other): Knee pain

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Knee stiffness

2021-04-27

Systemic reaction (other): Swelling

2021-04-28

Systemic reaction (other): Swelling glands around my neck

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Light headless

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Little sore throat

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Body and muscle weakness

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Excessive sweating

Release 10 — day 28, dose 3

2021-11-26

Symptoms: Shortness of breath

Release 10 — day 35, dose 3

2021-12-03

Symptoms: SOB, muscle weakness and periodic cough

Release 10 — day 42, dose 3

2021-12-12

Symptoms: Rash, short term memory loss, insomnia hair loss, chest tightness

Release 11 — day 42, dose 4

2022-06-05

Symptoms: Headache

Release 12 — 3 months, dose 4

2022-07-24

Symptoms: Left chest tightness

Release 12 — days 1–6 daily, dose 5

2022-10-18

Systemic reaction (other): Cough, shortness of breath

2022-10-19

Systemic reaction (other): Cough and shortness of breath

2022-10-20

Systemic reaction (other): Coughing and shortness of breath

Release 12 — day 7, dose 5

2022-10-21

Systemic reaction (other): Coughing and shortness of breath

Release 12 — day 14, dose 5

2022-10-28

Symptoms: Lightheadness

Release 12 — day 28, dose 5

2022-11-11

Symptoms: Shortness of breath

Release 12 — day 35, dose 5

2022-11-20

Symptoms: Body aches and shortness of 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
SD	Alopecia	·	·	✓
SD	Amnesia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Rash	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Joint stiffness	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Swelling	✓	✓	✓

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