6UU-25192-43704

3 vaccinations 8 coded responses 31 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 223 / VA
Registered: 2021-03-24

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

Registered dependents

LFJ-11271-75510 Child or adolescent in my care · Female · 2021-11-06

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Joint and muscle pain are pre existing but feels a little worse maybe?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Joint pains

Free text: Possibly pre existing but cant tell if its worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Joint pains

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

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Oropharyngeal pain, Periorbital swelling, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness

Free text: Runny nose, sore throat, itchy and puffy eyes - I believe this is seasonal allergies but its worse than is usual for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Seasonal allergy, Self-medication — Feeling: Good · Fever

Free text: Seasonal allergies, worse than usual but improved after taking Flonase

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 14, dose 2
MedDRA: Abnormal dreams — Feeling: Good

Free text: Have been experiencing very vivid and somewhat memorable dreams, which is unusual. Not a problem, but its new, and Ive since read about others with similar experiences.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Dose 3 — Moderna
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — day 35, dose 3
MedDRA: Headache, Respiratory tract congestion, Rhinorrhoea — Feeling: Good

Free text: Runny nose, some congestion, headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-21
Survey response — 3 months, dose 3
MedDRA: Headache, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold symptoms. Sore throat, headache, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — 6 months, dose 3
MedDRA: COVID-19, Cough, Eye irritation, Headache, Malaise, Oropharyngeal pain, Pre-existing disease, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Covid 19 - headache, malaise, runny nose, cough, congestion, sore throat; seasonal allergies - runny nose, eye irritation

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2021-11-22	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Joint and muscle pain are pre existing but feels a little worse maybe?

2021-03-28

Systemic reaction (other): Possibly pre existing but cant tell if its worse

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Runny nose, sore throat, itchy and puffy eyes - I believe this is seasonal allergies but its worse than is usual for me

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Seasonal allergies, worse than usual but improved after taking Flonase

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Have been experiencing very vivid and somewhat memorable dreams, which is unusual. Not a problem, but its new, and Ive since read about others with similar experiences.

Release 10 — day 35, dose 3

2021-12-27

Symptoms: Runny nose, some congestion, headache

Release 11 — 3 months, dose 3

2022-02-21

Symptoms: Cold symptoms. Sore throat, headache, congestion

Release 11 — 6 months, dose 3

2022-05-25

Symptoms: Covid 19 - headache, malaise, runny nose, cough, congestion, sore throat; seasonal allergies - runny nose, eye irritation

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	Abnormal dreams	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Eye irritation	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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