5ZN-11071-35436

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 950 / CA
Registered: 2021-07-16

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

2021-07-16
Registered in v-safe
2021-07-16
Dose 1 — Pfizer-BioNTech
2021-07-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-17
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Site: Pain

Free text: earache right ear

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-07-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-07-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-07-23
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Nausea, Abdominal pain

Free text: sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach upset and fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Survey response — day 21, dose 1
MedDRA: Eye irritation, Productive cough, Rhinorrhoea, Throat irritation — Feeling: Fair

Free text: Runny nose, productive cough, irritated throat, irritated eyes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Survey response — day 28, dose 1
MedDRA: Cough, Respiratory tract congestion, Throat irritation — Feeling: Fair

Free text: Itchythroat .coughing, congestion

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Dose 2 — Pfizer-BioNTech
2021-08-14
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-08-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-08-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-08-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-19
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Ocular hyperaemia — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Free text: red itchy eyes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-08-21
Health check-in — day 7, dose 2
Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-28
Survey response — day 14, dose 2
MedDRA: Diarrhoea — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit

Free text: Intrcatable diarrhea continues. Uncertaian covid status ... could not get appt toll momday aug 30

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Report sent to call center — day 14, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-04
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-09-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-09-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-09-26
Survey response — day 42, dose 2
MedDRA: Anosmia, Cough, Respiratory tract congestion — Feeling: Fair

Free text: Congestion, loss of smell, cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-15
Call 1 — Left Voicemail
2022-02-12
Survey response — 6 months, dose 2
MedDRA: Bell's palsy, SARS-CoV-2 test positive — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit

Free text: Bells palsey, positive covid test

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Report sent to call center — 6 months, dose 2
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-08-16
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Cough, Discomfort, Nasal congestion, Nasal discharge discolouration — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nasal congestion w (b)(6) yellow discharge, persistent cough, joint aches and pains, a generalized feeling of discomfort or unease

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-16	Pfizer-BioNTech	No
2	2021-08-14	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 9 — days 1–6 daily, dose 1

2021-07-17

Systemic reaction (other): earache right ear

Release 9 — day 7, dose 1

2021-07-23

Systemic reaction (other): sore throat

Release 9 — day 14, dose 1

2021-07-30

Symptoms: Stomach upset and fatigue

Release 9 — day 21, dose 1

2021-08-06

Symptoms: Runny nose, productive cough, irritated throat, irritated eyes

Release 9 — day 28, dose 1

2021-08-13

Symptoms: Itchythroat .coughing, congestion

Release 9 — days 1–6 daily, dose 2

2021-08-19

Systemic reaction (other): red itchy eyes

Release 9 — day 14, dose 2

2021-08-28

Symptoms: Intrcatable diarrhea continues. Uncertaian covid status ... could not get appt toll momday aug 30

Release 9 — day 42, dose 2

2021-09-26

Symptoms: Congestion, loss of smell, cough

Release 11 — 6 months, dose 2

2022-02-12

Symptoms: Bells palsey, positive covid test

Release 12 — 12 months, dose 2

2022-08-16

Symptoms: Nasal congestion w (b)(6) yellow discharge, persistent cough, joint aches and pains, a generalized feeling of discomfort or unease

redacted (b)(6)

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	Abdominal discomfort	✓	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Bell's palsy	·	·	✓
SD	Cough	✓	·	✓
SD	Diarrhoea	✓	·	✓
SD	Discomfort	·	·	✓
SD	Eye irritation	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasal discharge discolouration	·	·	✓
SD	Productive cough	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Throat irritation	✓	·	✓
SRO	Ear pain	·	·	✓
SRO	Eye pruritus	✓	·	✓
SRO	Ocular hyperaemia	✓	·	✓
SRO	Oropharyngeal pain	✓	·	✓

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