65M-25858-28742

5 vaccinations 9 coded responses 47 check-ins 8 free-text entries 6 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 741 / OK
Registered: 2021-03-08

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

Registered dependents

U4P-66134-93499 Adult relative or friend · Female · 2022-09-23

Timeline

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

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-08
Registered in v-safe
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Cough, Haemoptysis, Hypersomnia, Hypertension, Malaise — Feeling: Fair

Free text: Coughing, blood in my spit this morning, slept 12 hours, my blood pressure is high and I don't feel good. Not that I attribute any of this to getting vaccinated because I don't.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
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: Sinus pain, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: My first really bad sinus infection. I've had it for 3 days. I'm sure it has nothing to do with the bootster shot, but you asked and it is the first time I've ever had one. Very painful and debilitating. I haven't been to the Dr yet.

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

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Survey response — day 42, dose 3
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection an possibly an upper respiratory infection as well. Dr put me.on antibiotics waiting to see if they help.

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-09
Call 1 — Left Voicemail
2021-12-27
Survey response — 3 months, dose 3
MedDRA: Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-28
Call 1 — Left Voicemail
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: I've had cronic sinus infection and surgery on my nose. We didn't get our 4th booster Saturday because they said we didn't qualify, so I'm not sure why you're contacting me this long after my third booster over 6 months ago? · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 0, dose 4
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event, Surgery — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): None to do with covid or my second booster · Healthcare visit (other): Had surgery for one condition and I'm still recovering, having surgery for the other on the 20th if possible.

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Report sent to call center — days 1–6 daily, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Headache

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2022-04-20
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-22
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-24
Dose 5 — Pfizer-BioNTech
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-17
Survey response — 12 months, dose 4
MedDRA: Respiratory disorder, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-18
Call 1 — Left Voicemail
2023-05-24
Health check-in — 12 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No
5	2022-05-24	Pfizer-BioNTech	No

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Coughing, blood in my spit this morning, slept 12 hours, my blood pressure is high and I don't feel good. Not that I attribute any of this to getting vaccinated because I don't.

Release 10 — day 21, dose 3

2021-10-18

Symptoms: My first really bad sinus infection. I've had it for 3 days. I'm sure it has nothing to do with the bootster shot, but you asked and it is the first time I've ever had one. Very painful and debilitating. I haven't been to the Dr yet.

Release 10 — day 42, dose 3

2021-11-08

Symptoms: Sinus infection an possibly an upper respiratory infection as well. Dr put me.on antibiotics waiting to see if they help.

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Sinus infection

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: I've had cronic sinus infection and surgery on my nose. We didn't get our 4th booster Saturday because they said we didn't qualify, so I'm not sure why you're contacting me this long after my third booster over 6 months ago?

Healthcare visit (other): Surgery

Release 11 — days 1–6 daily, dose 4

2022-04-17

Systemic reaction (other): None to do with covid or my second booster

Healthcare visit (other): Had surgery for one condition and I'm still recovering, having surgery for the other on the 20th if possible.

2022-04-19

Systemic reaction (other): None

Release 11 — day 7, dose 4

2022-04-22

Systemic reaction (other): No

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	Surgery	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Cough	✓	✓	✓
SD	Haemoptysis	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Sinus pain	·	·	✓
SD	Sinusitis	·	·	✓
SRO	No adverse event	·	·	✓

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