6CQ-18493-74135

6 vaccinations 10 coded responses 51 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 490 / MI
Registered: 2021-02-16

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

2021-02-16
Registered in v-safe
2021-02-16
Dose 1 — Pfizer-BioNTech
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Pfizer-BioNTech
2021-03-09
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 21, dose 2
MedDRA: Cough, Headache, Nasal congestion, Pulmonary congestion — Feeling: Fair

Free text: Mild headache, minor nasal and chest congestion, occasional cough - probably related to COPD and not the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Joint swelling, Ligament sprain — Feeling: Good · 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: Sprained knee and related inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 42, dose 3
MedDRA: Abdominal discomfort, Cough, Headache, Nasal congestion, Sneezing — Feeling: Fair

Free text: Coughing upon waking, sneezing, headache, nasal congestion, stomach upset

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Lower respiratory tract congestion — Feeling: Fair

Free text: Bronchial congestion

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Moderna
2022-04-01
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-04-08
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-15
Survey response — day 14, dose 4
MedDRA: Cough — Feeling: Good

Free text: Minor coughing

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-14
Survey response — day 42, dose 4
MedDRA: Body temperature increased, Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing — Feeling: Fair

Free text: Congestion sneezing coughing slightly elevated temp (not fever level) minor sore throat seems to be starting fatigue (could be from heat and insomnia). 2 negative home COVID tests in the past 3 days.

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-07
Dose 5 — Moderna
Co-administered: Flu
2022-09-15
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-05
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-13
Survey response — day 35, dose 5
MedDRA: Angina pectoris, Chest pain — Feeling: Fair

Free text: Minor chest pain/angina

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-09
Survey response — 3 months, dose 5
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Sniffles nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2023-03-09
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in
2023-04-25
Dose 6 — Moderna
2023-05-08
Survey response — day 7, dose 6
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-05-09
Health check-in — day 14, dose 6
Feeling: Fair

Adult check-in
2023-05-16
Health check-in — day 21, dose 6
Feeling: Fair

Adult check-in
2023-05-23
Health check-in — day 28, dose 6
Feeling: Fair

Adult check-in
2023-05-30
Survey response — day 35, dose 6
MedDRA: Fatigue, Oedema peripheral — Feeling: Poor

MedDRA releases: 2024-11
2023-06-06
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Pfizer-BioNTech
2	2021-03-09	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-04-01	Moderna	No
5	2022-09-07	Moderna	Flu
6	2023-04-25	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 21, dose 2

2021-03-30

Symptoms: Mild headache, minor nasal and chest congestion, occasional cough - probably related to COPD and not the vaccine

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Sprained knee and related inflammation

Release 10 — day 42, dose 3

2021-11-11

Symptoms: Coughing upon waking, sneezing, headache, nasal congestion, stomach upset

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Bronchial congestion

Release 11 — day 14, dose 4

2022-04-15

Symptoms: Minor coughing

Release 11 — day 42, dose 4

2022-05-14

Symptoms: Congestion sneezing coughing slightly elevated temp (not fever level) minor sore throat seems to be starting fatigue (could be from heat and insomnia). 2 negative home COVID tests in the past 3 days.

Release 12 — day 35, dose 5

2022-10-13

Symptoms: Minor chest pain/angina

Release 12 — 3 months, dose 5

2022-12-09

Symptoms: Sniffles nasal congestion

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	Angina pectoris	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Ligament sprain	✓	✓	✓
SD	Lower respiratory tract congestion	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Oedema peripheral	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pulmonary congestion	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	·	·	✓
SRO	Cough	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

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