5ZP-17191-78139

5 vaccinations 16 coded responses 41 check-ins 15 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 980 / WA
Registered: 2021-03-10

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Boredom, Fatigue, Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: The fatigue and tiredness is due to boredom, being away from my wife (she is in (b)(6)), and not the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Boredom — Feeling: Good · Fatigue or tiredness

Free text: I am very bored.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Good

Free text: Common cold runny nose. Was fighting a cold on and off from before being vaccinated. Normal for me this time of year.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Boredom — Feeling: Good · Fatigue or tiredness

Free text: Still bored.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 1
MedDRA: Chills — Feeling: Good · Chills

Free text: I got chilled because I went out in the cold this morning. Took a little longer than usual to warm up. Life

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Survey response — day 0, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Tired from 2 mile walk returning home. Not from being vaccinated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: The pain started as an ache around 22:30, subsided durning a hot shower about 23:30, became sharp enough to keep me awake for 10 minutes until it subsided enough to allow sleep. There were joint aches of the left (the side of the vaccination) shoulder, back, and hip (the last two could have been from sleeping wrong during a 45 minute deep sleep cat nap after finishing chores interrupted to get vaccinated and delayed meal).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Injection site pain, Pain — Feeling: Good · Site: Pain · Joint pains

Free text: Down to non-continuos hip joint ache. Arm is occasionally aching in shot area. Ache just above not noticeable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Still minor aches; but, no pains. Slowly going away.

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Blood glucose abnormal, Condition aggravated, Pre-existing disease — Feeling: Fair

Free text: A day of unstable sugar measurements. Could be from changes in medication dosage due to a higher A1C resulting from increased stress in dealing with COVID-19.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Good

Free text: Tiredness from the heat conditions recently encountered. Prevented me from doing things like shopping and restricted cooking. Made do normal housekeeping chores more difficult.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Neck pain, Stress — Feeling: Good

Free text: Soreness of right side neck and shoulders. I attribute the soreness to a slight increase in stress..

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Dose 3 — Pfizer-BioNTech
2022-03-31
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-08-11
Dose 4 — Pfizer-BioNTech
2022-09-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-25
Dose 5 — Pfizer-BioNTech
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-27
Survey response — days 1–6 daily, dose 5
MedDRA: Poor quality sleep — Feeling: Good · Fatigue or tiredness

Free text: Not sleeping well at night. I do not believe it is COVID related; but, more related to a too active mind.

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — days 1–6 daily, dose 5
MedDRA: Adverse reaction — Feeling: Good

Free text: Much better today than yesterday.

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-01
Survey response — day 7, dose 5
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Tired a little from boredom. Some from frustration. Some from concern with the events of the day. Nothing related to COVID.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-29
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-06
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-04-25
Survey response — 6 months, dose 5
MedDRA: Raynaud's phenomenon — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-08-11	Pfizer-BioNTech	No
5	2022-10-25	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): The fatigue and tiredness is due to boredom, being away from my wife (she is in (b)(6)), and not the vaccine.

redacted (b)(6)

2021-03-14

Systemic reaction (other): I am very bored.

2021-03-15

Systemic reaction (other): Common cold runny nose. Was fighting a cold on and off from before being vaccinated. Normal for me this time of year.

2021-03-16

Systemic reaction (other): Still bored.

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): I got chilled because I went out in the cold this morning. Took a little longer than usual to warm up. Life

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Tired from 2 mile walk returning home. Not from being vaccinated.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): The pain started as an ache around 22:30, subsided durning a hot shower about 23:30, became sharp enough to keep me awake for 10 minutes until it subsided enough to allow sleep. There were joint aches of the left (the side of the vaccination) shoulder, back, and hip (the last two could have been from sleeping wrong during a 45 minute deep sleep cat nap after finishing chores interrupted to get vaccinated and delayed meal).

2021-04-02

Systemic reaction (other): Down to non-continuos hip joint ache. Arm is occasionally aching in shot area. Ache just above not noticeable.

2021-04-03

Systemic reaction (other): Still minor aches; but, no pains. Slowly going away.

Release 8 — day 35, dose 2

2021-05-05

Symptoms: A day of unstable sugar measurements. Could be from changes in medication dosage due to a higher A1C resulting from increased stress in dealing with COVID-19.

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Tiredness from the heat conditions recently encountered. Prevented me from doing things like shopping and restricted cooking. Made do normal housekeeping chores more difficult.

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Soreness of right side neck and shoulders. I attribute the soreness to a slight increase in stress..

Release 12 — days 1–6 daily, dose 5

2022-10-27

Systemic reaction (other): Not sleeping well at night. I do not believe it is COVID related; but, more related to a too active mind.

2022-10-28

Systemic reaction (other): Much better today than yesterday.

Release 12 — day 7, dose 5

2022-11-01

Systemic reaction (other): Tired a little from boredom. Some from frustration. Some from concern with the events of the day. Nothing related to COVID.

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	Arthralgia	·	·	✓
SD	Blood glucose abnormal	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Raynaud's phenomenon	·	·	✓
SD	Stress	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Boredom	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	○	○	○
SRO	Injection site pain	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Poor quality sleep	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Unevaluable event	○	✓	○

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