6XV-19957-11158

5 vaccinations 12 coded responses 60 check-ins 11 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 111 / NY
Registered: 2021-02-19

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

2021-02-17
Dose 1 — Pfizer-BioNTech
2021-02-19
Registered in v-safe
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-10
Dose 2 — Pfizer-BioNTech
2021-03-10
Survey response — day 0, dose 2
MedDRA: Cough, Hot flush — Feeling: Fair

Free text: Hot Flash & cough a few minutes after shot was administered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Constipation — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Free text: Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-03-14
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 · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Survey response — day 21, dose 2
MedDRA: Hypertension, Office visit — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Have been taking BP Rx, but Blood pressure has been much much higher. Under Dr care for this · Healthcare visit (other): Dr office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 21, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Survey response — day 28, dose 2
MedDRA: Blood pressure abnormal, Office visit — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood pressure issues · Healthcare visit (other): Dr office visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 28, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Dose 3 — Pfizer-BioNTech
2021-08-18
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-08-19
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Earache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Survey response — days 1–6 daily, dose 3
MedDRA: Middle insomnia, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Bottom of Left foot, ball of foot Hurting. (Was not walking was laying in bed sleeping)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-08-23
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Good

Free text: Still feeling abit brain foggy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-08-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-01
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort — Feeling: Fair

Free text: Have upset stomach

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-09-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-22
Call 1 — Left Voicemail
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-04-02
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2022-04-04
Survey response — days 1–6 daily, dose 4
MedDRA: Back pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Lower Back hurting

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Back pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: My lower back still hurting off and on and pain in left hip off and on

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains

Adult check-in
2022-04-08
Health check-in — day 7, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-04-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
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
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-02-09
Dose 5 — Pfizer-BioNTech
2023-02-09
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2023-02-10
Survey response — days 1–6 daily, dose 5
MedDRA: Peripheral coldness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-02-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2023-02-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2023-02-13
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2023-02-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2023-02-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2023-02-16
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2023-02-23
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2023-03-02
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-03-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-03-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-03-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-05-11
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Pfizer-BioNTech
2	2021-03-10	Pfizer-BioNTech
3	2021-08-18	Pfizer-BioNTech	No
4	2022-04-01	Pfizer-BioNTech	No
5	2023-02-09	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): Hot Flash & cough a few minutes after shot was administered

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Constipation

Release 6 — day 21, dose 2

2021-03-31

Symptoms: Have been taking BP Rx, but Blood pressure has been much much higher. Under Dr care for this

Healthcare visit (other): Dr office visit

Release 7 — day 28, dose 2

2021-04-07

Symptoms: Blood pressure issues

Healthcare visit (other): Dr office visits

Release 9 — days 1–6 daily, dose 3

2021-08-19

Systemic reaction (other): Earache

2021-08-20

Systemic reaction (other): Bottom of Left foot, ball of foot Hurting. (Was not walking was laying in bed sleeping)

2021-08-21

Systemic reaction (other): Brain fog

2021-08-23

Systemic reaction (other): Still feeling abit brain foggy

Release 9 — day 14, dose 3

2021-09-01

Symptoms: Have upset stomach

Release 11 — days 1–6 daily, dose 4

2022-04-04

Systemic reaction (other): Lower Back hurting

2022-04-05

Systemic reaction (other): My lower back still hurting off and on and pain in left hip off and on

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	Abdominal discomfort	✓	·	✓
SD	Blood pressure abnormal	✓	✓	✓
SD	Hypertension	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Brain fog	✓	·	✓
SRO	Constipation	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Ear pain	✓	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Middle insomnia	✓	·	✓
SRO	Pain in extremity	✓	·	✓
SRO	Peripheral coldness	·	·	✓

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