ZMP-76636-02102

4 vaccinations 6 coded responses 39 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 481 / MI
Registered: 2021-03-09

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, 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 · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Mid/upper back pain

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Fatigue, Hypersomnia, Malaise — Feeling: Fair

Free text: I felt very exhausted and sick feeling as if I was going to be sick.It was the weekend so I just laid on the couch and slept for the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 42, dose 2
MedDRA: Back pain, Dyspnoea, Exposure to SARS-CoV-2, Fatigue, SARS-CoV-2 test negative — Feeling: Fair

Free text: Ive been feeling extremely tired all day everyday.I have back pain and I get out of breath real easily.I was also around someone that tested positive for COVID.I took a test 7 days after and it was negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2022-03-31
Dose 4 — Pfizer-BioNTech
2022-03-31
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-31
Survey response — day 0, dose 4
MedDRA: Pain in extremity — Feeling: Good

Free text: Sore arm

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-03
Survey response — days 1–6 daily, dose 4
MedDRA: Arthropathy, Muscle disorder — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Got my shot in the Left arm and Left hip is killing today.

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Survey response — days 1–6 daily, dose 4
MedDRA: Back pain — Feeling: Good · Joint pains

Free text: Back pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-04-07
Health check-in — day 7, dose 4
Feeling: Good · None

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

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

Adult check-in
2022-04-28
Health check-in — day 28, dose 4
Feeling: Good

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

Adult check-in
2022-05-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-03-31	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Mid/upper back pain

Release 8 — day 28, dose 2

2021-04-27

Symptoms: I felt very exhausted and sick feeling as if I was going to be sick.It was the weekend so I just laid on the couch and slept for the day.

Release 8 — day 42, dose 2

2021-05-11

Symptoms: Ive been feeling extremely tired all day everyday.I have back pain and I get out of breath real easily.I was also around someone that tested positive for COVID.I took a test 7 days after and it was negative.

Release 11 — day 0, dose 4

2022-03-31

Systemic reaction (other): Sore arm

Release 11 — days 1–6 daily, dose 4

2022-04-03

Systemic reaction (other): Got my shot in the Left arm and Left hip is killing today.

2022-04-04

Systemic reaction (other): Back pain

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	Dyspnoea	✓	✓	✓
SD	Exposure to SARS-CoV-2	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Arthropathy	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Muscle disorder	·	·	✓
SRO	Pain in extremity	·	·	✓

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