HQG-18892-13792

4 vaccinations 7 coded responses 40 check-ins 7 free-text entries 1 call case

Sex: Male
Age at first dose: 26-30
ZIP prefix: 480 / MI
Registered: 2021-01-16

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

Registered dependents

QDX-93852-02266 Adult relative or friend · Female · 2021-10-21

Timeline

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Pfizer-BioNTech
2021-01-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair

Free text: Ear Ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Pfizer-BioNTech
2021-02-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 21, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash on my chest and stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash on stomach and chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Dose 3 — Pfizer-BioNTech
2021-10-21
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 21, dose 3
MedDRA: Ear pain, Sinus congestion — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus congestion and ear ache

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-20
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school

Free text: Congestion, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-28
Dose 4 — Pfizer-BioNTech
2022-10-28
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Pfizer-BioNTech
2	2021-02-06	Pfizer-BioNTech
3	2021-10-21	Pfizer-BioNTech	No
4	2022-10-28	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Ear Ache

2021-01-22

Systemic reaction (other): Sore throat

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Sore throat

Release 4 — day 21, dose 2

2021-02-27

Symptoms: Rash on my chest and stomach

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Rash on stomach and chest

Release 10 — day 21, dose 3

2021-11-11

Symptoms: Sinus congestion and ear ache

Release 10 — 3 months, dose 3

2022-01-20

Symptoms: Congestion, sore throat

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	Ear pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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