Y2W-21690-19100

4 vaccinations 4 coded responses 39 check-ins 4 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 494 / MI
Registered: 2021-03-24

Relationship: Self
Race: White
Ethnicity: Not 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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I'm pretty sure my symptoms are non COVID-19 vaccine related. I have severe peripheral neuropathy & arthritis in my back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Non-COVID-19 Vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Survey response — day 35, dose 2
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, coughing, congested, & general cold symptoms. Some aches & pains. No fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 42, dose 2
MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Still fighting what feels like just cold symptoms. Runny nose, cough, congestion, etc. My doc just started me on extra strength Tylenol (3x's daily) for arthritis in my back so it's difficult to tell if I have a fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-03
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-06-03
Dose 4 — Pfizer-BioNTech
2022-06-03
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-06-03
Health check-in — day 0, dose 4
Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-10
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-02
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-06-03
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2021-12-03	Pfizer-BioNTech	Flu
4	2022-06-03	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): I'm pretty sure my symptoms are non COVID-19 vaccine related. I have severe peripheral neuropathy & arthritis in my back.

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Non-COVID-19 Vaccine related

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Sore throat, coughing, congested, & general cold symptoms. Some aches & pains. No fever.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Still fighting what feels like just cold symptoms. Runny nose, cough, congestion, etc. My doc just started me on extra strength Tylenol (3x's daily) for arthritis in my back so it's difficult to tell if I have a fever.

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	Cough	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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