2UJ-25881-52019

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 017 / MA
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Hives on arms, torso and legs · Healthcare visit (other): I saw my Primary Care Physician in his office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

no matching call case
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Good

Free text: Hives on torso and legs, barely on arms

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

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Good

Free text: Some hives on legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 1
MedDRA: Urticaria — Feeling: Good

Free text: Hives on thighs, also arms this am, took hydroxyzine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 14, dose 1
MedDRA: Urticaria — Feeling: Good

Free text: I have had occasional hives, latest this morning. Took antihistamines, gone by 2pm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Good · Site: Pain

Free text: Very small hives, though I have been taking prophylactic antihistamines since the day before the 2nd dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Angioedema, Urticaria — Feeling: Poor · Be unable to do your normal daily activities

Free text: Woke up with hives and angioedema. Started Prednisone taper (60-10mg/12 days) on doctors recommendation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Angioedema — Feeling: Fair

Free text: Slight angioedama.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Angioedema, Urticaria — Feeling: Good

Free text: Very slight case of angioedema and hives mid-day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 21, dose 2
MedDRA: Bursitis, Office visit, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Occasional hives.Diagnosed with bursitis of left elbow. · Healthcare visit (other): Doctors office.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — day 42, dose 2
MedDRA: Urticaria — Feeling: Fair

Free text: Hives.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-18
Call 1 — Left Voicemail
2022-04-18
Call successful
Participant prefers to complete VAERS report online
2022-04-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Hives on arms, torso and legs

Healthcare visit (other): I saw my Primary Care Physician in his office

2021-04-02

Systemic reaction (other): Hives on torso and legs, barely on arms

2021-04-05

Systemic reaction (other): Some hives on legs

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Hives on thighs, also arms this am, took hydroxyzine.

Release 7 — day 14, dose 1

2021-04-13

Symptoms: I have had occasional hives, latest this morning. Took antihistamines, gone by 2pm.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Very small hives, though I have been taking prophylactic antihistamines since the day before the 2nd dose.

2021-04-23

Systemic reaction (other): Woke up with hives and angioedema. Started Prednisone taper (60-10mg/12 days) on doctors recommendation.

2021-04-24

Systemic reaction (other): Slight angioedama.

2021-04-25

Systemic reaction (other): Very slight case of angioedema and hives mid-day.

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Occasional hives.Diagnosed with bursitis of left elbow.

Healthcare visit (other): Doctors office.

Release 8 — day 42, dose 2

2021-06-01

Symptoms: Hives.

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	Bursitis	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Angioedema	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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