XX5-30676-69289

4 vaccinations 16 coded responses 23 check-ins 16 free-text entries 1 call case

Sex: Male
Age at first dose: 56-60
ZIP prefix: 750 / TX
Registered: 2021-02-28

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

Timeline

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

2021-02-27
Dose 1 — Pfizer-BioNTech
2021-02-28
Registered in v-safe
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

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

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — 14 day, dose 1
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-20
Health check-in — 0 day, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-27
Survey response — 7 day, dose 2
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-05
Survey response — 14 day, dose 2
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-10
Survey response — 21 day, dose 2
MedDRA: Fatigue, Myalgia, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-17
Survey response — 28 day, dose 2
MedDRA: Fatigue, Myalgia, Nasopharyngitis, Oropharyngeal pain, Pain — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-03
Survey response — 42 day, dose 2
MedDRA: Fatigue, Headache, Nasal congestion, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-11-16
Dose 3 — Pfizer-BioNTech
2022-07-22
Dose 4 — Pfizer-BioNTech
2022-07-24
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-07-25
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness · Be unable to work or attend school

MedDRA releases: 2024-11 · check-in answers available
2022-07-27
Survey response — days 1–6 daily, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair · Chills, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-07-31
Survey response — 7 day, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair · Chills, Headache, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-08-05
Survey response — 14 day, dose 4
MedDRA: Asthenia, Cough, Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-08-12
Survey response — 21 day, dose 4
MedDRA: Asthenia, Chills, Eye irritation, Fatigue, Headache, Myalgia, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-08-28
Survey response — 35 day, dose 4
MedDRA: Asthenia, Fatigue, Nasopharyngitis, Pain — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-09-05
Survey response — 42 day, dose 4
MedDRA: Asthenia, Fatigue, Myalgia, Nasopharyngitis, Oropharyngeal pain, Pain, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11 · check-in answers available
2022-09-05
Report sent to call center — 42 day, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-07
Call 1 — Left Voicemail
2023-01-21
Health check-in — 6 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech
3	2021-11-16	Pfizer-BioNTech	No
4	2022-07-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-09-05	Unsuccessful

Free text

Release 5

Symptoms: Sore throat, Nasal congestion

Release 6

Systemic reaction (other): Sore throat, Nasal congestion, Runny nose

Systemic reaction (other): Cold like symptoms

Systemic reaction (other): Sore throat, cold

Symptoms: Sore throat, Tired

Release 7

Symptoms: Sore throat, Muscle ache, cold like symptoms, Feeling tired

Symptoms: Sore throat, muscle and body ache, cold like symptoms, feeling tired

Release 8

Symptoms: Sore throat, nasal congestion, headache, feeling tired

Release 12

Systemic reaction (other): Cough, cold like symptoms

Systemic reaction (other): Cough, Cold like symptoms

Systemic reaction (other): Cold like symptoms

Symptoms: Fatigue, Weakness, Cough, Sore throat, Runny Nose, Headache

Symptoms: Weakness, muscle ache, fatigue, headache, burning eyes, sore throat, nasal congestion, chills

Symptoms: Weakness, fatigue, body ache, cold like symptoms

Symptoms: Fatigue, Body and muscle ache, Weakness, Sore throat, Cold like symptoms

Healthcare visit (other): Covid Test

Free-text releases are not linked to a specific 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	SARS-CoV-2 test	·	·	✓
SD	Asthenia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Eye irritation	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SRO	Cough	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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