5ZU-18866-67091

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2021-02-27

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19 — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: I just found out I was exposed last Sunday to someone who tested for covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache — Feeling: Good · Chills, Headache, Muscle or body aches

Free text: The chills and headache were very short time about 32 hours after the last injection. .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity, Pre-existing disease, Pruritus — Feeling: Good

Free text: Alittle itchy in my face and upper body last night.probably allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — day 7, dose 2
MedDRA: Visual impairment — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vision split

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 14, dose 2
MedDRA: Fatigue, Hypertension — Feeling: Poor · Be unable to do your normal daily activities

Free text: High blood pressure. Feel drained

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 21, dose 2
MedDRA: Headache, Hypertension — Feeling: Poor · Be unable to work, 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: High blood pressure, constant low grade headache. Tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Cough, Office visit, Upper-airway cough syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Had a bad cough for a couple weeks f months. Probably due to a sinus drippage · Healthcare visit (other): Dr visits

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-17
Call 1 — Left Voicemail
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-18
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Feeling tired one day

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): I just found out I was exposed last Sunday to someone who tested for covid

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): The chills and headache were very short time about 32 hours after the last injection. .

2021-03-22

Systemic reaction (other): Alittle itchy in my face and upper body last night.probably allergies

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Vision split

Release 6 — day 14, dose 2

2021-04-02

Symptoms: High blood pressure. Feel drained

Release 7 — day 21, dose 2

2021-04-09

Symptoms: High blood pressure, constant low grade headache. Tired

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Had a bad cough for a couple weeks f months. Probably due to a sinus drippage

Healthcare visit (other): Dr visits

Release 10 — day 21, dose 3

2021-10-18

Symptoms: Feeling tired one day

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	Office visit	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Chills	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersensitivity	○	✓	○
SRO	Pre-existing disease	✓	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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