6XQ-47147-69866

4 vaccinations 10 coded responses 50 check-ins 9 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 920 / CA
Registered: 2021-02-03

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-03
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: A little light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash on both arms appeared late yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Subsiding fore arm rash on both arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash on fore arms continues ro improve

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Good

Free text: Rash on fore arms is completely resolved today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-24
Survey response — day 0, dose 2
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Higher than normal pulse and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Headache, body aches, and fatigue are improving over yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-04
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-06
Survey response — 6 months, dose 3
MedDRA: Exposure to SARS-CoV-2, Headache, Malaise, Pain, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Head and body aches, sinus congestion, general malaise. Found out later that several other people I was with had similar symptoms and tested positive for Covid 19

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Survey response — 12 months, dose 3
MedDRA: Functional endoscopic sinus surgery, Office visit, Pre-existing disease, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Chronic sinus infection requiring FESS. Nasal infection still persistent. Working with infectious disease specialist. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-05
Call 1 — Left Voicemail
2022-10-10
Dose 4 — Pfizer-BioNTech
2022-10-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling · Headache, Abdominal pain

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-10
Survey response — 6 months, dose 4
MedDRA: Office visit, Prostate cancer — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-11
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	2021-02-03	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-10-10	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-03

Systemic reaction (other): A little light headedness

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Rash on both arms appeared late yesterday

2021-02-08

Systemic reaction (other): Subsiding fore arm rash on both arms

2021-02-09

Systemic reaction (other): Rash on fore arms continues ro improve

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Rash on fore arms is completely resolved today

Release 4 — day 0, dose 2

2021-02-24

Systemic reaction (other): Higher than normal pulse and dizziness

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Headache, body aches, and fatigue are improving over yesterday

Release 11 — 6 months, dose 3

2022-04-06

Symptoms: Head and body aches, sinus congestion, general malaise. Found out later that several other people I was with had similar symptoms and tested positive for Covid 19

Release 12 — 12 months, dose 3

2022-10-04

Symptoms: Chronic sinus infection requiring FESS. Nasal infection still persistent. Working with infectious disease specialist.

Healthcare visit (other): Office visit

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	Office visit	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Functional endoscopic sinus surgery	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Prostate cancer	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rash	✓	✓	✓

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