2K8-28303-71664

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 4 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 331 / FL
Registered: 2021-05-26

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

2021-05-09
Dose 1 — Pfizer-BioNTech
2021-05-26
Registered in v-safe
2021-05-26
Survey response — day 14, dose 1
MedDRA: Asthenia, Pruritus — Feeling: Good

Free text: Full body itching, Lack of energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Dose 2 — Pfizer-BioNTech
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-06-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-06-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

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

Adult check-in
2021-06-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-05
Survey response — day 35, dose 2
MedDRA: Emergency care, Oral herpes — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Oral Herpes started 20 days ago.Never had this before and did not have contact with anyone. I do believe it is related to the Vaccine.I did have a reaction on the second dose, and rescue needed to be called and the ambulance came to help.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call 1 — Could Not Reach Participant
2021-07-13
Survey response — day 42, dose 2
MedDRA: Headache, Oral herpes, Pain, Pruritus — Feeling: Good

Free text: Body itching, Oral Herpes and constant headaches since the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Call 2 — Could Not Reach Participant
2021-08-31
Survey response — 3 months, dose 2
MedDRA: Appendicectomy, Emergency care — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Had an emergency surgery; appendectomy.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-03
Call 1 — Could Not Reach Participant
2021-09-09
Call 2 — Could Not Reach Participant
2021-12-03
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Arthritis, Dysuria, Fatigue, Nausea, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Nausea, Abdomen pain, arthritis flare more intense than before the vaccine, burning when urinating, fatigued.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-12-07
Call 1 — Could Not Reach Participant
2021-12-13
Call 2 — Could Not Reach Participant
2022-05-30
Survey response — 12 months, dose 2
MedDRA: Appendicectomy, Gastrointestinal disorder, Liver disorder, Office visit, Pancreatic disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Problems with many organs. Liver, pancreas, stomach, etc... Appendectomy right after the vaccine, then my health worsened tremendously. Currently, I have over 5 different doctors taking care of me including an Immunologist....

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-06-01
Call successful
Participant prefers to complete VAERS report online
2022-06-01
Call successful
Participant prefers to complete VAERS report online
2022-06-01
Call successful
Participant prefers to complete VAERS report online
2022-06-01
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-09	Pfizer-BioNTech
2	2021-05-30	Pfizer-BioNTech

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-26

Symptoms: Full body itching, Lack of energy

Release 9 — day 35, dose 2

2021-07-05

Symptoms: Oral Herpes started 20 days ago.Never had this before and did not have contact with anyone. I do believe it is related to the Vaccine.I did have a reaction on the second dose, and rescue needed to be called and the ambulance came to help.

Release 9 — day 42, dose 2

2021-07-13

Symptoms: Body itching, Oral Herpes and constant headaches since the vaccine.

Release 9 — 3 months, dose 2

2021-08-31

Symptoms: Had an emergency surgery; appendectomy.

Release 10 — 6 months, dose 2

2021-12-03

Symptoms: Nausea, Abdomen pain, arthritis flare more intense than before the vaccine, burning when urinating, fatigued.

Release 11 — 12 months, dose 2

2022-05-30

Symptoms: Problems with many organs. Liver, pancreas, stomach, etc... Appendectomy right after the vaccine, then my health worsened tremendously. Currently, I have over 5 different doctors taking care of me including an Immunologist....

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	Abdominal pain	·	·	✓
SD	Appendicectomy	✓	·	✓
SD	Arthritis	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Dysuria	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Liver disorder	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Oral herpes	✓	✓	✓
SD	Pain	✓	✓	○
SD	Pancreatic disorder	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓

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