ZTG-20367-23294

4 vaccinations 13 coded responses 25 check-ins 13 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 011 / MA
Registered: 2021-02-09

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-08
Dose 1 — Pfizer-BioNTech
2021-02-09
Registered in v-safe
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Very slight headaches Comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Headache

Free text: Insomnia intermittent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 7, dose 1
MedDRA: Anosmia, Headache, Insomnia — Feeling: Good

Free text: Insomnia/headaches/some loss of smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 14, dose 1
MedDRA: Headache, Mobility decreased — Feeling: Good · Be unable to do your normal daily activities

Free text: Sudden headaches that I had to lay down and sit still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Dose 2 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Headache, Joint pains

Free text: Some insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Anosmia, Insomnia — Feeling: Poor · Headache

Free text: Insomnia slight loss of smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Anosmia, Insomnia, Office visit, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Ongoing pain from top of my chest from shoulder to shoulder especially in the neck front area. Insomnia and slight loss of smell · Healthcare visit (other): PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — day 7, dose 2
MedDRA: Insomnia — Feeling: Good · Site: Pain · Headache

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 14, dose 2
MedDRA: Chest discomfort, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest discomfort · Healthcare visit (other): A need to make medical appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-20
Dose 3 — Pfizer-BioNTech
2021-12-20
Call 1 — Could Not Reach Participant
2021-12-27
Call 2 — Left Voicemail
2022-03-06
Survey response — 12 months, dose 2
MedDRA: Emergency care, Hypertension, Nail operation, Pain in extremity, Toe operation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: High BP. Visited ER. Minor surgery on right big toe. Removal of ingrown toe nail. Still in pain.

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-08
Call 1 — Left Voicemail
2022-04-23
Survey response — 6 months, dose 3
MedDRA: Sleep apnoea syndrome — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: B12 Rx Sleep apnea Urinalysis

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-04
Dose 4 — Other-Unknown
2022-06-04
Health check-in — day 0, dose 4
Feeling: Good · Headache

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2022-06-07
Survey response — days 1–6 daily, dose 4
MedDRA: Arthritis, Spondylitis — Feeling: Good · Joint pains

Free text: Arthritis lower back; right hip

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Pfizer-BioNTech
2	2021-03-06	Pfizer-BioNTech
3	2021-10-20	Pfizer-BioNTech	No
4	2022-06-04	Other-Unknown	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-12	Unsuccessful
2021-03-21	Unsuccessful
2022-03-06	Unsuccessful
2022-04-23	Successful 2022-04-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Very slight headaches Comes and goes

2021-02-14

Systemic reaction (other): Insomnia intermittent

Release 4 — day 7, dose 1

2021-02-15

Systemic reaction (other): Insomnia/headaches/some loss of smell

Release 4 — day 14, dose 1

2021-02-22

Symptoms: Sudden headaches that I had to lay down and sit still

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): Some insomnia

2021-03-10

Systemic reaction (other): Insomnia slight loss of smell

2021-03-11

Systemic reaction (other): Insomnia

2021-03-12

Systemic reaction (other): Ongoing pain from top of my chest from shoulder to shoulder especially in the neck front area. Insomnia and slight loss of smell

Healthcare visit (other): PCP

Release 5 — day 7, dose 2

2021-03-13

Systemic reaction (other): Insomnia

Release 6 — day 14, dose 2

2021-03-21

Symptoms: Chest discomfort

Healthcare visit (other): A need to make medical appointment

Release 11 — 12 months, dose 2

2022-03-06

Symptoms: High BP. Visited ER. Minor surgery on right big toe. Removal of ingrown toe nail. Still in pain.

Release 11 — 6 months, dose 3

2022-04-23

Symptoms: B12 Rx Sleep apnea Urinalysis

Release 11 — days 1–6 daily, dose 4

2022-06-07

Systemic reaction (other): Arthritis lower back; right hip

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Nail operation	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Sleep apnoea syndrome	·	·	✓
SD	Toe operation	·	·	✓
SRO	Anosmia	✓	✓	✓
SRO	Arthritis	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Spondylitis	·	·	✓

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