ZHW-76778-66680

4 vaccinations 6 coded responses 37 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 850 / AZ
Registered: 2021-03-20

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

2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-20
Registered in v-safe
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Itchy arms associated with my pollen allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 7, dose 1
MedDRA: Pruritus, Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Itchy arms. Both left and right near wrist. Small breakout of rash near left wrist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
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
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches

Free text: Unrelated but i felt like doing laundry today. So i did laundry. Thanks!! I am perfectly healthy!!

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-05
Survey response — day 28, dose 3
MedDRA: Pre-existing disease, Pruritus — Feeling: Good

Free text: Itchy just under my skin. It may be unrelated due to my allergies for pollen.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 35, dose 3
MedDRA: Pruritus, Scratch — Feeling: Good

Free text: Itch! Under my skin there is an itch i just cannot relieve. Scratching makes it worse. Itch treatments have no effect.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-07
Survey response — 3 months, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Good

Free text: Tested positive for covid.

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-05
Dose 4 — Pfizer-BioNTech
2022-08-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-06
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-10-08	Pfizer-BioNTech	Flu
4	2022-05-05	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Itchy arms associated with my pollen allergies

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Itchy arms. Both left and right near wrist. Small breakout of rash near left wrist.

Release 10 — day 7, dose 3

2021-10-15

Systemic reaction (other): Unrelated but i felt like doing laundry today. So i did laundry. Thanks!! I am perfectly healthy!!

Release 10 — day 28, dose 3

2021-11-05

Symptoms: Itchy just under my skin. It may be unrelated due to my allergies for pollen.

Release 10 — day 35, dose 3

2021-11-12

Symptoms: Itch! Under my skin there is an itch i just cannot relieve. Scratching makes it worse. Itch treatments have no effect.

Release 10 — 3 months, dose 3

2022-01-07

Symptoms: Tested positive for covid.

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	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Scratch	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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