Y99-27672-07904

3 vaccinations 6 coded responses 38 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 26-30
ZIP prefix: 727 / AR
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Stuffed nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Bowel movement irregularity, Chest pain, Dyspnoea, Headache — Feeling: Good

Free text: I'm experiencing periodic chest pain, shortness of breath, headache, bowel movement changes (color, frequency). Nothing severe though. Keep in mind, I have underlying health issues, so it may be related to that, not sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Itching

Free text: Tingling in my arm, as well as pinky and ring fingers, lasting an hour, exactly the same like when I got the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 35, dose 2
MedDRA: Chest pain — Feeling: Good

Free text: I have actually been getting periodic chest pain the past few weeks, minor but noticable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Pfizer-BioNTech
2021-11-11
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Abdominal pain

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-02
Survey response — day 21, dose 3
MedDRA: Chest pain — Feeling: Good

Free text: Chest Pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-10
Survey response — 3 months, dose 3
MedDRA: Chest pain — Feeling: Good

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-11
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2021-11-11	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Stuffed nose

Release 7 — day 14, dose 1

2021-04-15

Symptoms: I'm experiencing periodic chest pain, shortness of breath, headache, bowel movement changes (color, frequency). Nothing severe though. Keep in mind, I have underlying health issues, so it may be related to that, not sure.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Tingling in my arm, as well as pinky and ring fingers, lasting an hour, exactly the same like when I got the injection

Release 8 — day 35, dose 2

2021-05-27

Symptoms: I have actually been getting periodic chest pain the past few weeks, minor but noticable.

Release 10 — day 21, dose 3

2021-12-02

Symptoms: Chest Pain

Release 11 — 3 months, dose 3

2022-02-10

Symptoms: Chest 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	Bowel movement irregularity	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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