ZT5-21230-83514

4 vaccinations 13 coded responses 45 check-ins 13 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 913 / CA
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Pfizer-BioNTech
2021-01-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in jaw — Feeling: Fair · Muscle or body aches

Free text: Pain in left jaw area .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle swelling, Myalgia, Pain in jaw, Self-medication, Swelling face — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Jaw muscles swollen and hurting. Taking ibuprofen for pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in jaw, Self-medication, Swelling face — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swelling and pain in jaw muscles. Treating with ibuprofen, ice and benadryl.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in jaw, Swelling face — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Still have swelling and pain in jaw muscles, mostly the left side. Slightly less than yesterday; have been treating with ice pack and ibuprofen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling face — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Swelling in jaw muscles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Musculoskeletal stiffness, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Since a few days after receiving 2nd shot; i wake up with pain and stiffness in shoulder and muscle where the shots were given. Pain dissipates after a a short time (few minutes to quarter hour), but recurs daily.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Mild itching, but no rash.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Joint stiffness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain and stiffness in elbow of the arm the shot was put in.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain in arm receiving the jab.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 28, dose 3
MedDRA: Arthralgia, Myalgia — Feeling: Fair

Free text: Joint and muscle pain/aches

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-30
Survey response — 3 months, dose 3
MedDRA: Arthralgia — Feeling: Fair

Free text: Continue to have shoulder/joint pain in arm shot was given in (since receiving 2nd dose)

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Dose 4 — Pfizer-BioNTech
2022-05-15
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2022-05-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-27
Survey response — day 21, dose 4
MedDRA: Ageusia, Anosmia, Cough, Dizziness, Fatigue, Headache, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fever, headache, body aches, dizziness, lack of taste and smell, cough, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Survey response — day 28, dose 4
MedDRA: Cough, Hypogeusia, Hyposmia, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: Getting better, but still have lingering issues with diminished taste, smell and ongoing cough. Tested positive for covid on 21 May and 31 May. Tested negative on 2 June 2022.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-17
Health check-in — day 42, dose 4
Feeling: Good

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

Adult check-in
2022-11-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No
4	2022-05-06	Pfizer-BioNTech	No

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Pain in left jaw area .

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Jaw muscles swollen and hurting. Taking ibuprofen for pain.

2021-01-29

Systemic reaction (other): Swelling and pain in jaw muscles. Treating with ibuprofen, ice and benadryl.

2021-01-30

Systemic reaction (other): Still have swelling and pain in jaw muscles, mostly the left side. Slightly less than yesterday; have been treating with ice pack and ibuprofen.

2021-01-31

Systemic reaction (other): Swelling in jaw muscles.

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Since a few days after receiving 2nd shot; i wake up with pain and stiffness in shoulder and muscle where the shots were given. Pain dissipates after a a short time (few minutes to quarter hour), but recurs daily.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Mild itching, but no rash.

2021-10-31

Systemic reaction (other): Pain and stiffness in elbow of the arm the shot was put in.

Release 10 — day 21, dose 3

2021-11-19

Symptoms: Joint pain in arm receiving the jab.

Release 10 — day 28, dose 3

2021-11-26

Symptoms: Joint and muscle pain/aches

Release 11 — 3 months, dose 3

2022-01-30

Symptoms: Continue to have shoulder/joint pain in arm shot was given in (since receiving 2nd dose)

Release 11 — day 21, dose 4

2022-05-27

Symptoms: Fever, headache, body aches, dizziness, lack of taste and smell, cough, fatigue.

Release 11 — day 28, dose 4

2022-06-03

Symptoms: Getting better, but still have lingering issues with diminished taste, smell and ongoing cough. Tested positive for covid on 21 May and 31 May. Tested negative on 2 June 2022.

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypogeusia	·	·	✓
SD	Hyposmia	·	·	✓
SD	Musculoskeletal stiffness	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Joint stiffness	·	·	✓
SRO	Muscle swelling	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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