2P7-73087-19761

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 4 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 320 / FL
Registered: 2021-04-06

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Diarrhea

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Stomatitis — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches

Free text: Roof of mount sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Oral pain, Peripheral coldness — Feeling: Fair · Headache, Muscle or body aches

Free text: Roof of mouth still slightly sore. Cold feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Oedema peripheral, Office visit — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Swelling under arm where injection is. Fluid type lump. · Healthcare visit (other): Schedule in person doctors appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass — Feeling: Good

Free text: Lump under arm pit same arm as injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Axillary pain — Feeling: Good

Free text: Lump under arm pit fluid type lump.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass — Feeling: Good

Free text: Lump under left arm where injection was given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 7, dose 2
MedDRA: Axillary mass, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Lump under arm pit where shot was given. Going to doctor Thursday to have checked · Healthcare visit (other): Doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — day 14, dose 2
MedDRA: Axillary mass, Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lump under both arms now. · Healthcare visit (other): Doctor office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Hypoaesthesia, Peripheral coldness — Feeling: Good

Free text: At times tightening in chest and some numbness and cold feet. Mostly left foot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Blood urine present, Musculoskeletal stiffness, Pre-existing disease — Feeling: Good

Free text: Have had stiff neck issues since second shot. Also have blood in urine occasionally. May ne due to kidney stones but I uave no pain to attribute that blood to which usually happens in previous stones over a year ago.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Swelling of lymph nodes under arm. · Healthcare visit (other): Doctor office visit

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-29
Call successful
Participant prefers to complete VAERS report online
2022-04-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Roof of mount sore

2021-04-29

Systemic reaction (other): Roof of mouth still slightly sore. Cold feet

2021-04-30

Systemic reaction (other): Swelling under arm where injection is. Fluid type lump.

Healthcare visit (other): Schedule in person doctors appointment

2021-05-01

Systemic reaction (other): Lump under arm pit same arm as injection site.

2021-05-02

Systemic reaction (other): Lump under arm pit fluid type lump.

2021-05-03

Systemic reaction (other): Lump under left arm where injection was given

Release 8 — day 7, dose 2

2021-05-04

Systemic reaction (other): Lump under arm pit where shot was given. Going to doctor Thursday to have checked

Healthcare visit (other): Doctor visit

Release 8 — day 14, dose 2

2021-05-11

Symptoms: Lump under both arms now.

Healthcare visit (other): Doctor office visit

Release 8 — day 35, dose 2

2021-06-03

Symptoms: At times tightening in chest and some numbness and cold feet. Mostly left foot.

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Have had stiff neck issues since second shot. Also have blood in urine occasionally. May ne due to kidney stones but I uave no pain to attribute that blood to which usually happens in previous stones over a year ago.

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: Swelling of lymph nodes under arm.

Healthcare visit (other): Doctor office visit

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	Axillary mass	·	·	✓
SD	Blood urine present	✓	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Musculoskeletal stiffness	✓	·	✓
SD	Peripheral coldness	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SRO	Axillary mass	✓	✓	✓
SRO	Axillary pain	✓	✓	○
SRO	Oedema peripheral	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Stomatitis	✓	✓	✓

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