ZPW-32558-04415

4 vaccinations 8 coded responses 46 check-ins 7 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 630 / MO
Registered: 2021-03-08

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Pfizer-BioNTech
2021-03-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Pfizer-BioNTech
2021-03-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Gait inability — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Joint pain was significant that I could hardly walk from 4 PM until 10 PM

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 28, dose 2
MedDRA: Cough, Fatigue, Headache, Pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Body ache, headache, running nose, feeling of exhaustion, mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Pfizer-BioNTech
2021-11-23
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-23
Survey response — day 28, dose 3
MedDRA: Chills, Decreased appetite, Headache, Insomnia, Nausea, SARS-CoV-2 test negative — Feeling: Poor

Free text: Headaches, chills, nausea, loss of appetite, sleeplessness. I did a Covid self test in 12-20-21. I was negative.

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-04
Survey response — day 42, dose 3
MedDRA: Cough, Fatigue, Increased viscosity of upper respiratory secretion, Respiratory tract congestion, Speech disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Unable to talk, constant coughing, chest congestion, fatigue, thick mucus

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Survey response — 3 months, dose 3
MedDRA: Cough, Laryngitis, Office visit — Feeling: Good

Free text: I have been coughing since the first week in December. I have had 2 trips to an urgent care center to also include laryngitis and one trip to my family doctor to try to resolve the coughing issues. The cough persists, but is slowly getting better.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — 6 months, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have not received the 2nd booster as I was told the immunity only lasts for 4 weeks. On May 25, I tested positive for Covid

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Dose 4 — Pfizer-BioNTech
2022-07-26
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-07-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-28
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Difficulty sleeping

MedDRA releases: 2024-11 · check-in free text available
2022-07-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-31
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-08-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-08-03
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2022-10-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-24
Survey response — 6 months, dose 4
MedDRA: Cough, Headache, Office visit, Oropharyngeal pain, Sinus congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-24
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Pfizer-BioNTech
2	2021-03-29	Pfizer-BioNTech
3	2021-11-23	Pfizer-BioNTech	No
4	2022-07-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2023-01-24	Successful 2023-01-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Joint pain was significant that I could hardly walk from 4 PM until 10 PM

Release 8 — day 28, dose 2

2021-04-26

Symptoms: Body ache, headache, running nose, feeling of exhaustion, mild cough

Release 10 — day 28, dose 3

2021-12-23

Symptoms: Headaches, chills, nausea, loss of appetite, sleeplessness. I did a Covid self test in 12-20-21. I was negative.

Release 10 — day 42, dose 3

2022-01-04

Symptoms: Unable to talk, constant coughing, chest congestion, fatigue, thick mucus

Release 11 — 3 months, dose 3

2022-02-24

Symptoms: I have been coughing since the first week in December. I have had 2 trips to an urgent care center to also include laryngitis and one trip to my family doctor to try to resolve the coughing issues. The cough persists, but is slowly getting better.

Release 11 — 6 months, dose 3

2022-05-25

Symptoms: I have not received the 2nd booster as I was told the immunity only lasts for 4 weeks. On May 25, I tested positive for Covid

Release 12 — days 1–6 daily, dose 4

2022-07-28

Systemic reaction (other): Difficulty sleeping

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
HCVO	Office visit	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Increased viscosity of upper respiratory secretion	·	·	✓
SD	Insomnia	·	·	✓
SD	Laryngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Speech disorder	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Gait inability	✓	✓	✓
SRO	Insomnia	·	·	✓

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