Y6V-23558-58289

4 vaccinations 11 coded responses 54 check-ins 10 free-text entries 0 call cases

Sex: Male
Age at first dose: 26-30
ZIP prefix: 840 / UT
Registered: 2021-05-19

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

2021-05-19
Registered in v-safe
2021-05-19
Dose 1 — Pfizer-BioNTech
2021-05-19
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-05-26
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · Muscle or body aches, Diarrhea

Adult check-in
2021-06-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-09
Dose 2 — Pfizer-BioNTech
2021-06-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-06-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Nausea, Diarrhea

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Muscle or body aches

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Muscle or body aches, Diarrhea

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea

Adult check-in
2021-06-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-23
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Nausea, Pain — Feeling: Good

Free text: Moderate Nausea, moderate Diarrhea, and mild Aches for a couple days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-08
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-11
Dose 3 — Pfizer-BioNTech
2022-03-11
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-03-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-03-13
Survey response — days 1–6 daily, dose 3
MedDRA: Discomfort, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node on underside of arm where it meets the armpit. Additionally it must be in certain positions or it causes discomfort and/or pain.

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node in armpit

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph node in armpit

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph node in armpit

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-03-18
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2022-03-25
Survey response — day 14, dose 3
MedDRA: Diarrhoea — Feeling: Fair

Free text: Occasional diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Survey response — day 21, dose 3
MedDRA: Rash — Feeling: Fair

Free text: Rash in left armpit.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-04-15
Survey response — day 35, dose 3
MedDRA: Rash — Feeling: Good

Free text: Still got the rash in the armpit of the arm that received the dose.

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — day 42, dose 3
MedDRA: Rash — Feeling: Fair

Free text: I still have that rash in my armpit from when I got the booster.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-09
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-12-05
Dose 4 — Pfizer-BioNTech
2022-12-05
Health check-in — day 0, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-06
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-12-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2022-12-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-12-12
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-12-19
Survey response — day 14, dose 4
MedDRA: Proctalgia — Feeling: Good

Free text: Rectal pain

MedDRA releases: 2024-11 · check-in free text available
2022-12-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-01-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-01-09
Survey response — day 35, dose 4
MedDRA: Cough, Headache — Feeling: Good

MedDRA releases: 2024-11
2023-01-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-06-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-19	Pfizer-BioNTech
2	2021-06-09	Pfizer-BioNTech
3	2022-03-11	Pfizer-BioNTech	No
4	2022-12-05	Pfizer-BioNTech	No

Free text

Release 9 — day 14, dose 2

2021-06-23

Symptoms: Moderate Nausea, moderate Diarrhea, and mild Aches for a couple days.

Release 11 — days 1–6 daily, dose 3

2022-03-13

Systemic reaction (other): Swollen lymph node on underside of arm where it meets the armpit. Additionally it must be in certain positions or it causes discomfort and/or pain.

2022-03-14

Systemic reaction (other): Swollen lymph node in armpit

2022-03-15

Systemic reaction (other): Swollen lymph node in armpit

2022-03-16

Systemic reaction (other): Swollen lymph node in armpit

Release 11 — day 14, dose 3

2022-03-25

Symptoms: Occasional diarrhea

Release 11 — day 21, dose 3

2022-04-01

Symptoms: Rash in left armpit.

Release 11 — day 35, dose 3

2022-04-15

Symptoms: Still got the rash in the armpit of the arm that received the dose.

Release 11 — day 42, dose 3

2022-04-22

Symptoms: I still have that rash in my armpit from when I got the booster.

Release 12 — day 14, dose 4

2022-12-19

Symptoms: Rectal pain

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	Diarrhoea	✓	✓	✓
SD	Headache	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Proctalgia	·	·	✓
SD	Rash	·	·	✓
SRO	Discomfort	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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