Z3Q-16880-10560

5 vaccinations 12 coded responses 34 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 144 / NY
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Survey response — day 0, dose 1
MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches

Free text: Arm aches below injection site.. triceps to wrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Tenderness — Feeling: Good · Site: Pain

Free text: Upper arm is tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Skin warm, Tenderness — Feeling: Good · Site: Pain

Free text: Upper arm still tender and warm to touch. Otherwise OK

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth, Pain in extremity, Tenderness — Feeling: Good · Site: Pain

Free text: Upper arm very mild tenderness. Still quite warm to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: AOK

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Actually have been tired all week. Had put it down to long work hours but have cut back, starting later, finishing earlier and getting more sleep. Still tired!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Insomnia, Limb discomfort, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Upper arm in vicinity of vaccine feels like I got kicked by a horse. Pain radiates down my arm, lower arm feels weird. Bad headache. Kept me awake from about 3am. (shot was 2pm previous day)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Upper arm pain, less severe than yesterday. Less severe headache. Slept until 4am, but too uncomfortable to sleep more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: sore throat, swollen gland in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Sore throat, swollen gland in neck/left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-10
Dose 3 — Pfizer-BioNTech
2022-04-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-17
Dose 4 — Moderna
2022-10-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-30
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-11-06
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-13
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-20
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-27
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-04
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-11
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-31
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-30
Survey response — 6 months, dose 5
MedDRA: Headache, Oropharyngeal pain, Pyrexia, Sneezing — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2021-10-10	Pfizer-BioNTech	No
4	2022-05-17	Moderna	No
5	2022-10-30	Pfizer-BioNTech	Flu

Free text

Release 5 — day 0, dose 1

2021-03-19

Systemic reaction (other): Arm aches below injection site.. triceps to wrist

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Upper arm is tender

2021-03-21

Systemic reaction (other): Upper arm still tender and warm to touch. Otherwise OK

2021-03-22

Systemic reaction (other): Upper arm very mild tenderness. Still quite warm to touch

2021-03-24

Systemic reaction (other): AOK

2021-03-25

Systemic reaction (other): Actually have been tired all week. Had put it down to long work hours but have cut back, starting later, finishing earlier and getting more sleep. Still tired!

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Upper arm in vicinity of vaccine feels like I got kicked by a horse. Pain radiates down my arm, lower arm feels weird. Bad headache. Kept me awake from about 3am. (shot was 2pm previous day)

2021-04-11

Systemic reaction (other): Upper arm pain, less severe than yesterday. Less severe headache. Slept until 4am, but too uncomfortable to sleep more

2021-04-12

Systemic reaction (other): Sore throat

2021-04-13

Systemic reaction (other): sore throat, swollen gland in neck

2021-04-15

Systemic reaction (other): Sore throat, swollen gland in neck/left side

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	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sneezing	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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