Z2Q-17932-91026

4 vaccinations 11 coded responses 29 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 171 / PA
Registered: 2021-03-07

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

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-07
Registered in v-safe
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Did rite aid really administer the vaccine why no symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Running nose congestion may be allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Hope the injection was genuine since I have had no side effects or symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Good

Free text: Sore left shoulder,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Itching

Free text: Very minor pain where shot is, did not even have that first shot this one going well too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Muscle or body aches

Free text: Right hand joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Dose 3 — Pfizer-BioNTech
2022-05-12
Dose 4 — Pfizer-BioNTech
2022-05-15
Survey response — days 1–6 daily, dose 4
MedDRA: Constipation — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Constipation all 4 dose's

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-05-19
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-02
Survey response — day 21, dose 4
MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Numbness in feet and hands not sure if related to booster since 3 weeks ago

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-17
Survey response — day 35, dose 4
MedDRA: Arthralgia, Myalgia, Pain in extremity — Feeling: Good

Free text: Muscle joint feet pain

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-10
Survey response — 6 months, dose 4
MedDRA: Chills, Constipation, Fatigue, Injection site pain — Feeling: Good · Be unable to do your normal daily activities

Free text: October 24 Pfizer booster, today is November 10th. 2 days after booster arm pain injection site. Fatigue, chills, constipation

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-05-12	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Did rite aid really administer the vaccine why no symptoms

2021-03-09

Systemic reaction (other): Running nose congestion may be allergies

2021-03-10

Systemic reaction (other): Hope the injection was genuine since I have had no side effects or symptoms

Release 6 — day 14, dose 1

2021-03-21

Symptoms: Sore left shoulder,

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Very minor pain where shot is, did not even have that first shot this one going well too

2021-03-29

Systemic reaction (other): Right hand joint pain

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Migraine headaches

Release 11 — days 1–6 daily, dose 4

2022-05-15

Systemic reaction (other): Constipation all 4 dose's

Release 11 — day 21, dose 4

2022-06-02

Symptoms: Numbness in feet and hands not sure if related to booster since 3 weeks ago

Release 12 — day 35, dose 4

2022-06-17

Symptoms: Muscle joint feet pain

Release 12 — 6 months, dose 4

2022-11-10

Symptoms: October 24 Pfizer booster, today is November 10th. 2 days after booster arm pain injection site. Fatigue, chills, constipation

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	Arthralgia	✓	✓	✓
SD	Chills	·	·	✓
SD	Constipation	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site pain	·	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain in extremity	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Constipation	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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