ZEH-24935-61969

4 vaccinations 16 coded responses 42 check-ins 16 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 112 / NY
Registered: 2021-02-28

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-02-28
Registered in v-safe
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ear pain, stuffy nose, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Cough, Dysphonia, Headache — Feeling: Fair · Site: Pain

Free text: Pressure on chest, hoarse voice, dry cough, pain in head when coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Good · Headache

Free text: Pressure on chest

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

Free text: Chest pressure

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

Free text: Tightness in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-04-09
Survey response — day 21, dose 2
MedDRA: Asthma, Bedridden, Pre-existing disease, Vaccine positive rechallenge — Feeling: Good · Be unable to do your normal daily activities

Free text: Got symptoms night of shot. Next day, bedridden, but symptoms milder than first shot. Quicker onset of symptoms though. Asthma was triggered, but less so than first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Pfizer-BioNTech
2021-12-03
Health check-in — day 0, dose 3
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Dyspnoea, Flatulence — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Breathing issues, coughing, gas,

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Decreased appetite, Respiratory disorder — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lack of appetite, coughing, breathing issues

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Decreased appetite, Respiratory disorder — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing, breathing issues, loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory disorder — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Coughing, breathing issues

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-10
Survey response — day 7, dose 3
MedDRA: Cough, Respiratory disorder — Feeling: Fair · Headache

Free text: Breathing issues and coughing

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-16
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-16
Survey response — day 0, dose 4
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Sneezing and discharge from nose

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congested, cough, sneeze, nasal discharge

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Survey response — days 1–6 daily, dose 4
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Breathing difficulty

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Survey response — days 1–6 daily, dose 4
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Chest tightness

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Survey response — days 1–6 daily, dose 4
MedDRA: Chest discomfort — Feeling: Good · Headache

Free text: Chest tightness

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-12-03	Pfizer-BioNTech	No
4	2022-09-16	Pfizer-BioNTech	Flu

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Ear pain, stuffy nose, sore throat

2021-03-01

Systemic reaction (other): Pressure on chest, hoarse voice, dry cough, pain in head when coughing

2021-03-02

Systemic reaction (other): Pressure on chest

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Chest pressure

2021-03-04

Systemic reaction (other): Tightness in chest

Release 7 — day 21, dose 2

2021-04-09

Symptoms: Got symptoms night of shot. Next day, bedridden, but symptoms milder than first shot. Quicker onset of symptoms though. Asthma was triggered, but less so than first shot.

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Breathing issues, coughing, gas,

2021-12-05

Systemic reaction (other): Lack of appetite, coughing, breathing issues

2021-12-06

Systemic reaction (other): Coughing, breathing issues, loss of appetite

2021-12-07

Systemic reaction (other): Coughing, breathing issues

Release 10 — day 7, dose 3

2021-12-10

Systemic reaction (other): Breathing issues and coughing

Release 12 — day 0, dose 4

2022-09-16

Systemic reaction (other): Sneezing and discharge from nose

Release 12 — days 1–6 daily, dose 4

2022-09-17

Systemic reaction (other): Congested, cough, sneeze, nasal discharge

2022-09-18

Systemic reaction (other): Breathing difficulty

2022-09-19

Systemic reaction (other): Chest tightness

2022-09-21

Systemic reaction (other): Chest tightness

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	Asthma	✓	✓	✓
SD	Bedridden	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vaccine positive rechallenge	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Dysphonia	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Flatulence	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory disorder	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓

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