YSF-46317-70161

4 vaccinations 9 coded responses 47 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 110 / NY
Registered: 2021-03-06

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

2XD-26191-49365 Child or adolescent in my care · Male · 2021-10-03

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Survey response — day 0, dose 1
MedDRA: Anxiety — Feeling: Good · Nausea

Free text: May anxious about possible side effects

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Malaise — Feeling: Fair · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: At night woke up feeling unwell and uneasy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — day 7, dose 1
MedDRA: Abdominal discomfort — Feeling: Good · Abdominal pain

Free text: A little bit of upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 14, dose 1
MedDRA: Back pain — Feeling: Good

Free text: For a very short period yesterday at one point I had a temperature of 99.5. Then after about 2 hours it was back to normal.Do have aches in lower back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Insomnia, Middle insomnia, Nausea — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Woke up last night with a rapid heart beat and nausea. Difficult to get back to sleep- not until 5:30 am. Continue with nausea. Felt better by 10am.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-03
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Chills, Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 14, dose 2
MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Developed an ache across my lower back - lumbar area for about a week. Today I feel better but it doesnt remind me about hat it has a still there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Dose 3 — Pfizer-BioNTech
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Flushing — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Face felt flushed but I dont think fever.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-23
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-01
Survey response — day 28, dose 3
MedDRA: Pain — Feeling: Fair

Free text: Body aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-09
Dose 4 — Pfizer-BioNTech
2022-04-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-09
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech
3	2021-10-02	Pfizer-BioNTech	No
4	2022-04-09	Pfizer-BioNTech	No

Free text

Release 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): May anxious about possible side effects

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): At night woke up feeling unwell and uneasy

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): A little bit of upset stomach

Release 6 — day 14, dose 1

2021-03-20

Symptoms: For a very short period yesterday at one point I had a temperature of 99.5. Then after about 2 hours it was back to normal.Do have aches in lower back.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Woke up last night with a rapid heart beat and nausea. Difficult to get back to sleep- not until 5:30 am. Continue with nausea. Felt better by 10am.

Release 6 — day 7, dose 2

2021-04-03

Systemic reaction (other): Sore throat

Release 7 — day 14, dose 2

2021-04-10

Symptoms: Developed an ache across my lower back - lumbar area for about a week. Today I feel better but it doesnt remind me about hat it has a still there.

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Face felt flushed but I dont think fever.

Release 10 — day 28, dose 3

2021-11-01

Symptoms: Body aches

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	Back pain	✓	✓	✓
SD	Pain	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Flushing	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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