69K-33152-18658

2 vaccinations 14 coded responses 23 check-ins 14 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 322 / FL
Registered: 2021-01-07

Relationship: Self
Race: Asian
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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Pfizer-BioNTech
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Abdominal pain

Free text: not that I'm aware of, but observe now and then if I had.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Chills

Free text: Left arm that got shot 95% felt pain . so far feel good. Thank you.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache

Free text: No more pain in arm shot. feel good and thank you.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: I'm doing good and still observing my body if there's going on. Thank you.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Diarrhea

Free text: Not at all. still observing my self and I feel good. Thank you.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Redness · Abdominal pain

Free text: I'm feeling good and still observing my self. thank you very much.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Redness · Muscle or body aches

Free text: I feel good so far and still observing my self. thank you very much.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Pfizer-BioNTech
2021-01-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache

Free text: not @ all. just pain little bit left arm that got shot compared yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Good · Site: Redness · Fever · Chills

Free text: I feel cold like in the afternoon yesterday and went bed early. take a bath on cold water this early morning. didnt take any medicine and feel better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Chills, Headache — Feeling: Good · Site: Swelling · Diarrhea

Free text: I feel good after last nights chills, headache, abdominal discomfort. Thank you.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: above experience symptoms where I checked I think thats on 30, January . I feel good now and thank you for checking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Im feeling good and thank you very much.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Im feeling good and thank you very much.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Itching · Abdominal pain

Free text: Im feeling good and thank you very much.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Pfizer-BioNTech
2	2021-01-28	Pfizer-BioNTech

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): not that I'm aware of, but observe now and then if I had.

2021-01-09

Systemic reaction (other): Left arm that got shot 95% felt pain . so far feel good. Thank you.

2021-01-10

Systemic reaction (other): No more pain in arm shot. feel good and thank you.

2021-01-11

Systemic reaction (other): I'm doing good and still observing my body if there's going on. Thank you.

2021-01-12

Systemic reaction (other): Not at all. still observing my self and I feel good. Thank you.

2021-01-13

Systemic reaction (other): I'm feeling good and still observing my self. thank you very much.

Release 2 — day 7, dose 1

2021-01-14

Systemic reaction (other): I feel good so far and still observing my self. thank you very much.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): not @ all. just pain little bit left arm that got shot compared yesterday.

2021-01-30

Systemic reaction (other): I feel cold like in the afternoon yesterday and went bed early. take a bath on cold water this early morning. didnt take any medicine and feel better.

2021-01-31

Systemic reaction (other): I feel good after last nights chills, headache, abdominal discomfort. Thank you.

2021-02-01

Systemic reaction (other): above experience symptoms where I checked I think thats on 30, January . I feel good now and thank you for checking.

2021-02-02

Systemic reaction (other): Im feeling good and thank you very much.

2021-02-03

Systemic reaction (other): Im feeling good and thank you very much.

Release 3 — day 7, dose 2

2021-02-04

Systemic reaction (other): Im feeling good and thank you very much.

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
SRO	Abdominal discomfort	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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