ZYN-13689-86033

4 vaccinations 9 coded responses 35 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 054 / VT
Registered: 2021-03-04

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

2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-04
Registered in v-safe
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Left arm ache above elbow into shoulder- injection arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Ache in left arm and shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good

Free text: Yesterday after the checkin I had moderate chills for about two hours. None today so far.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: It has only been 6 hours since the injection at 3:30 pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea

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

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Dose 3 — Pfizer-BioNTech
2022-03-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-05
Dose 4 — Pfizer-BioNTech
2022-05-11
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Injection site bruise

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-16
Survey response — day 42, dose 4
MedDRA: Headache — Feeling: Fair

Free text: Headache A close contact from 6 days ago tested positive yesterday 6/15 This morning 6/16 I tested negative on an antigen rapid test.

MedDRA releases: 2024-11 · check-in free text available
2022-08-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-03
Survey response — 6 months, dose 4
MedDRA: Chills, Cough, Fatigue, Headache, Nasopharyngitis, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad cold for 7 days. Cough sneezing headache chills fatigue Negative Antigen Tests (3)

MedDRA releases: 2024-11 · check-in free text available
2023-05-07
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No
4	2022-05-05	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Left arm ache above elbow into shoulder- injection arm.

2021-03-05

Systemic reaction (other): Ache in left arm and shoulder

2021-03-09

Systemic reaction (other): Yesterday after the checkin I had moderate chills for about two hours. None today so far.

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): It has only been 6 hours since the injection at 3:30 pm

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): No

2021-03-28

Systemic reaction (other): No

Release 11 — days 1–6 daily, dose 4

2022-05-11

Systemic reaction (other): Injection site bruise

Release 12 — day 42, dose 4

2022-06-16

Symptoms: Headache A close contact from 6 days ago tested positive yesterday 6/15 This morning 6/16 I tested negative on an antigen rapid test.

Release 12 — 6 months, dose 4

2022-11-03

Symptoms: Bad cold for 7 days. Cough sneezing headache chills fatigue Negative Antigen Tests (3)

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Sneezing	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Injection site bruising	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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