32L-14409-26619

3 vaccinations 5 coded responses 5 check-ins 5 free-text entries 4 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 488 / MI
Registered: 2022-01-10

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

2021-01-11
Dose 1 — Pfizer-BioNTech
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-12-13
Dose 3 — Pfizer-BioNTech
2022-01-10
Registered in v-safe
2022-01-10
Survey response — day 28, dose 3
MedDRA: Dysphagia, Dyspnoea, Fluid retention, Inflammation, Lymphadenopathy, Oropharyngeal pain, Rash erythematous, Swelling, Swelling face — 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 · Emergency room or emergency department visit

Free text: Swollen lymph nodes (neck, body). Upper body red rash. Swollen neck/face. Sore throat/trouble breathing and swallowing. Water retention. Inflammation all over body.

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Report sent to call center — day 28, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-01-18
Survey response — day 35, dose 3
MedDRA: Heart rate increased, Inflammation, Lymph node pain, Neck pain, Swelling — 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 · Outpatient clinic or urgent care clinic visit

Free text: Same symptoms as last week. I have increased neck pain/swelling/inflamation. Extreme lymph node pain all over. Fast heart beat.

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Report sent to call center — day 35, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-25
Survey response — day 42, dose 3
MedDRA: Cardiac monitoring abnormal, Dyspnoea, Hypertension — 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 · Outpatient clinic or urgent care clinic visit

Free text: All same as before except my breathing has worsened. I was put on an inhaler to control it. My blood pressure is now extremely high and I was put on blood pressure meds. I wore a heart monitor and the results were not good. More tests are being done.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-27
Call 1 — Left Voicemail
2022-03-14
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Depression, Dyspnoea, Fatigue, Inflammation, Neck pain, Pain, Rash, Swelling — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chronic neck and shoulder pain. Pain below the waist. Brain fog. Inability to exert myself in any way. Rashes and swollen neck/trouble breathing. Depression. Whole body inflammation.

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Survey response — 6 months, dose 3
MedDRA: Anaphylaxis treatment, Respiratory 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 · Outpatient clinic or urgent care clinic visit

Free text: Breathing issues. Was given a shot of epinephrine on one occasion to save me.

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-17
Call successful
Completed over the phone
2022-06-17
Call successful
Completed over the phone
2022-06-17
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Pfizer-BioNTech	No
2	2021-02-02	Pfizer-BioNTech	No
3	2021-12-13	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 10 — day 28, dose 3

2022-01-10

Symptoms: Swollen lymph nodes (neck, body). Upper body red rash. Swollen neck/face. Sore throat/trouble breathing and swallowing. Water retention. Inflammation all over body.

Release 10 — day 35, dose 3

2022-01-18

Symptoms: Same symptoms as last week. I have increased neck pain/swelling/inflamation. Extreme lymph node pain all over. Fast heart beat.

Release 11 — day 42, dose 3

2022-01-25

Symptoms: All same as before except my breathing has worsened. I was put on an inhaler to control it. My blood pressure is now extremely high and I was put on blood pressure meds. I wore a heart monitor and the results were not good. More tests are being done. cut off by CDC

Release 11 — 3 months, dose 3

2022-03-14

Symptoms: Chronic neck and shoulder pain. Pain below the waist. Brain fog. Inability to exert myself in any way. Rashes and swollen neck/trouble breathing. Depression. Whole body inflammation.

Release 12 — 6 months, dose 3

2022-06-16

Symptoms: Breathing issues. Was given a shot of epinephrine on one occasion to save me.

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	Anaphylaxis treatment	·	·	✓
SD	Arthralgia	·	·	✓
SD	Cardiac monitoring abnormal	·	·	✓
SD	Depression	·	·	✓
SD	Dysphagia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Fluid retention	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hypertension	·	·	✓
SD	Inflammation	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Swelling	·	·	✓
SD	Swelling face	·	·	✓

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