6KP-36671-66195

3 vaccinations 18 coded responses 31 check-ins 17 free-text entries 6 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 105 / NY
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling

Free text: Lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Muscle or body aches, Abdominal pain

Adult check-in
2021-03-28
Survey response — day 7, dose 1
MedDRA: Nasopharyngitis — Feeling: Good · Site: Pain, Swelling · Headache

Free text: Felt like I was getting a cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 14, dose 1
MedDRA: Peripheral swelling, Tenderness — Feeling: Fair

Free text: My whole arm still feels swollen and hurts to the touch at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Flatulence — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Bloated stomach. Gas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-23
Survey response — day 14, dose 2
MedDRA: Headache, Hypersensitivity, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Very bad headaches and allergies. I dont usually have allergies. · Healthcare visit (other): My doctor recommended that I go but I decided not to. Im in pain but I dont think its a hospital visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 28, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Unrelated to my COVID-19 vaccine but I started chemotherapy last week so my body has a lot of side effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 35, dose 2
MedDRA: Dizziness, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headache and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Survey response — day 42, dose 2
MedDRA: Pre-existing disease — 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: I have lymphoma so Ive had chemotherapy treatment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · 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: I have lymphoma and have chemotherapy treatments every 3 weeks. As far as I know none of my symptoms are related to the COVID-19 vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
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)
2021-07-14
Call 1 — Left Voicemail
2021-07-14
Call 1 — Left Voicemail
2021-07-14
Call 1 — Left Voicemail
2021-07-14
Call 1 — Left Voicemail
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-18
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Rash

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-12
Dose 3 — Pfizer-BioNTech
2022-04-12
Call 1 — Left Voicemail
2022-05-01
Survey response — day 14, dose 3
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headache and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — day 21, dose 3
MedDRA: Back pain, Fatigue, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, fatigue and backache but I was still able to do my normal daily activities just with pain.

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — day 28, dose 3
MedDRA: Abdominal pain upper — Feeling: Fair

Free text: Stomach pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — day 35, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Mainly bad headache

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Survey response — day 42, dose 3
MedDRA: Abdominal pain upper, Headache — Feeling: Fair

Free text: Headache and stomachache.

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Survey response — 3 months, dose 3
MedDRA: Cyst, Fatigue — Feeling: Fair

Free text: Fatigue and cysts

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had COVID-19 and you never contacted me.

MedDRA releases: 2024-11 · check-in free text available
2023-04-12
Survey response — 12 months, dose 3
MedDRA: Back disorder, Muscle spasms, Muscle strain, Paralysis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Hospitalization

MedDRA releases: 2024-11
2023-04-12
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2023-04-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2022-04-12	Pfizer-BioNTech	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Lymph nodes

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): Felt like I was getting a cold

Release 6 — day 14, dose 1

2021-04-02

Symptoms: My whole arm still feels swollen and hurts to the touch at times.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Bloated stomach. Gas.

Release 7 — day 14, dose 2

2021-04-23

Symptoms: Very bad headaches and allergies. I dont usually have allergies.

Healthcare visit (other): My doctor recommended that I go but I decided not to. Im in pain but I dont think its a hospital visit.

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Unrelated to my COVID-19 vaccine but I started chemotherapy last week so my body has a lot of side effects.

Release 8 — day 35, dose 2

2021-05-15

Symptoms: Headache and dizziness

Release 8 — day 42, dose 2

2021-05-21

Symptoms: I have lymphoma so Ive had chemotherapy treatment

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: I have lymphoma and have chemotherapy treatments every 3 weeks. As far as I know none of my symptoms are related to the COVID-19 vaccine.

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Rash

Release 11 — day 14, dose 3

2022-05-01

Symptoms: Headache and fatigue

Release 11 — day 21, dose 3

2022-05-04

Symptoms: Headache, fatigue and backache but I was still able to do my normal daily activities just with pain.

Release 11 — day 28, dose 3

2022-05-10

Symptoms: Stomach pain

Release 11 — day 35, dose 3

2022-05-19

Symptoms: Mainly bad headache

Release 11 — day 42, dose 3

2022-05-24

Symptoms: Headache and stomachache.

Release 12 — 3 months, dose 3

2022-07-12

Symptoms: Fatigue and cysts

Release 12 — 6 months, dose 3

2022-10-11

Symptoms: I had COVID-19 and you never contacted me.

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	Pain	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Back disorder	·	·	✓
SD	Back pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Cyst	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Muscle strain	·	·	✓
SD	Pain	·	·	✓
SD	Paralysis	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	·	·	✓
SD	Tenderness	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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