6YU-68662-00944

3 vaccinations 13 coded responses 35 check-ins 13 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 871 / NM
Registered: 2021-03-03

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-03
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None at this time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Good

Free text: Small headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Dose 2 — Pfizer-BioNTech
2021-03-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling

Free text: The swelling is in my under arm area. Same side as the second shot (right side).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Good

Free text: Ive been having headaches for about three weeks could they be related?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 42, dose 2
MedDRA: Back pain, Headache — Feeling: Fair

Free text: Headaches, and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: I have a large swelling in my lymph node in my right underarm. My shot was in my right arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: The lymph node under my arm is still swollen, but no pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Fever · Headache

Free text: The swelling of my lymph node is going down.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good

Free text: Just swelling under my arm. It's not painful.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Survey response — day 21, dose 3
MedDRA: Headache — Feeling: Good

Free text: I've had a headache for more than a week. Not sure if it related to the Vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Good

Free text: I've had headaches

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-28
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-24	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Free text

Release 5 — day 0, dose 1

2021-03-03

Systemic reaction (other): None at this time

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): None

2021-03-05

Systemic reaction (other): None

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Small headache

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): The swelling is in my under arm area. Same side as the second shot (right side).

Release 8 — day 35, dose 2

2021-04-28

Symptoms: Ive been having headaches for about three weeks could they be related?

Release 8 — day 42, dose 2

2021-05-05

Symptoms: Headaches, and back pain

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): I have a large swelling in my lymph node in my right underarm. My shot was in my right arm

2021-10-02

Systemic reaction (other): The lymph node under my arm is still swollen, but no pain.

2021-10-03

Systemic reaction (other): The swelling of my lymph node is going down.

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Just swelling under my arm. It's not painful.

Release 10 — day 21, dose 3

2021-10-19

Symptoms: I've had a headache for more than a week. Not sure if it related to the Vaccine.

Release 10 — day 28, dose 3

2021-10-26

Symptoms: I've had headaches

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	Back pain	✓	✓	✓
SD	Headache	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓

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