2WN-25137-04702

2 vaccinations 4 coded responses 21 check-ins 4 free-text entries 3 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 799 / TX
Registered: 2020-12-19

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

2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-19
Registered in v-safe
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2020-12-27
Survey response — day 7, dose 1
MedDRA: Condition aggravated — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Not sure but seems my crps has become more problematic a few days after shot and rehabs today better but other factors could als influence but?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-15
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 42, dose 2
MedDRA: Adverse reaction — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hi issues but I have such but just last been worsening. Do not think related to shit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — 3 months, dose 2
MedDRA: Complex regional pain syndrome, Fatigue, Gastrointestinal pain, Irritability, Rash, Sciatic nerve neuropathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tired more. More irritable. Rash still there and got a little worse. Sciatic nerve issues. CRPS has worsened some. Intestinal pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call successful
Participant prefers to complete VAERS report online
2021-07-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-11
Survey response — 12 months, dose 2
MedDRA: Malaise, Office visit, Rash, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Rash issues continue. Had symptoms of covid recently but tested negative. · Healthcare visit (other): Medical and dermatology

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-12
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech

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 1 — day 7, dose 1

2020-12-27

Systemic reaction (other): Not sure but seems my crps has become more problematic a few days after shot and rehabs today better but other factors could als influence but?

Release 4 — day 42, dose 2

2021-02-19

Symptoms: Hi issues but I have such but just last been worsening. Do not think related to shit.

Release 7 — 3 months, dose 2

2021-04-09

Symptoms: Tired more. More irritable. Rash still there and got a little worse. Sciatic nerve issues. CRPS has worsened some. Intestinal pains.

Release 10 — 12 months, dose 2

2022-01-11

Symptoms: Rash issues continue. Had symptoms of covid recently but tested negative.

Healthcare visit (other): Medical and dermatology

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	Adverse reaction	✓	✓	✓
SD	Complex regional pain syndrome	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Irritability	✓	✓	✓
SD	Malaise	·	·	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sciatic nerve neuropathy	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓

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