2VA-25208-19981

4 vaccinations 4 coded responses 31 check-ins 3 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 773 / TX
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · 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 — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches

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

Adult check-in
2021-04-21
Survey response — day 21, dose 2
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Symptoms consistent with allergy sinus or upper respiratory infection. Sneezing, coughing, congestion, runny nose, sore throat. Possibly a seasonal issue rather than a reaction to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 28, dose 2
Feeling: Fair

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

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Survey response — 6 months, dose 2
MedDRA: COVID-19, Fatigue, Influenza like illness, Respiratory tract congestion, Sinus congestion, Unevaluable event — 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

Free text: Symptoms: I contracted covid the end of July and was sick for 2 weeks. No loss of taste or smell and no major breathing problems, but all other flu like symptoms including sinus & chest congestion. I'm still bothered by extreme fatigue and other symptoms. · Healthcare visit (other): I'm still trying to schedule an in person appointment with a psychologist.

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
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 · 1 call case(s)
2021-11-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-20
Dose 3 — Moderna
Co-administered: Flu
2022-03-31
Survey response — 12 months, dose 2
MedDRA: Brain fog, COVID-19, Fatigue, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue and brain fog due to covid. · Healthcare visit (other): Primary care and Neurologist outpatient

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
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

1 call case(s)
2022-04-05
Call 1 — Requested Callback
2022-04-06
Callback requested for
02:00PM ET
2022-04-07
Call successful
Completed over the phone
2022-06-22
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-20
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-21
Survey response — 6 months, dose 4
MedDRA: Upper respiratory tract infection bacterial — 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

MedDRA releases: 2024-11
2023-03-21
Report sent to call center — 6 months, dose 4
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 · 1 call case(s)
2023-03-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-12-20	Moderna	Flu
4	2022-09-20	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — day 21, dose 2

2021-04-21

Symptoms: Symptoms consistent with allergy sinus or upper respiratory infection. Sneezing, coughing, congestion, runny nose, sore throat. Possibly a seasonal issue rather than a reaction to the vaccine.

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: I contracted covid the end of July and was sick for 2 weeks. No loss of taste or smell and no major breathing problems, but all other flu like symptoms including sinus & chest congestion. I'm still bothered by extreme fatigue and other symptoms.

Healthcare visit (other): I'm still trying to schedule an in person appointment with a psychologist.

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: Fatigue and brain fog due to covid.

Healthcare visit (other): Primary care and Neurologist outpatient

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	Brain fog	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Upper respiratory tract infection bacterial	·	·	✓

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