5YV-26427-41947

4 vaccinations 6 coded responses 29 check-ins 6 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 967 / HI
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Survey response — day 21, dose 2
MedDRA: Dizziness, Heart rate decreased, Somnolence, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Little light headed Lazy longer nap Pulse slower from 57 to 60. Now 45 to 48. Started 2/25/21. Blood test yesterday. And EKG tomorrow · Healthcare visit (other): Dr tomorrow for EKG

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — day 28, dose 2
MedDRA: Dizziness, Heart rate increased, Laziness — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Light headed, Lazie, pulse has always been 57 to 60 for 10 days 2/24 to 3/6 has been 40 to 45 3/24 had EKG. Now going to med center for Echo cardio gram on 3/17.

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

1 call case(s)
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Call 1 — Left Voicemail
2021-10-06
Dose 3 — Pfizer-BioNTech
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-18
Dose 4 — Pfizer-BioNTech
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Survey response — day 28, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Fair

Free text: Tested positive for Covid

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — day 35, dose 4
MedDRA: Laboratory test abnormal, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Sinus infection feeling took and I biotics was tested positive three or four days later

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-04-18	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 21, dose 2

2021-03-02

Symptoms: Little light headed Lazy longer nap Pulse slower from 57 to 60. Now 45 to 48. Started 2/25/21. Blood test yesterday. And EKG tomorrow

Healthcare visit (other): Dr tomorrow for EKG

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Light headed, Lazie, pulse has always been 57 to 60 for 10 days 2/24 to 3/6 has been 40 to 45 3/24 had EKG. Now going to med center for Echo cardio gram on 3/17.

Release 11 — days 1–6 daily, dose 4

2022-04-19

Systemic reaction (other): No

2022-04-23

Systemic reaction (other): No

Release 11 — day 28, dose 4

2022-05-16

Symptoms: Tested positive for Covid

Release 11 — day 35, dose 4

2022-05-25

Symptoms: Sinus infection feeling took and I biotics was tested positive three or four days later

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	Dizziness	✓	✓	✓
SD	Heart rate decreased	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Laboratory test abnormal	·	·	✓
SD	Laziness	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	No adverse event	·	·	✓

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