32P-31217-26695

4 vaccinations 6 coded responses 53 check-ins 6 free-text entries 2 call cases

Sex: Male
Age at first dose: 16-20
ZIP prefix: 076 / NJ
Registered: 2021-02-09

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Pfizer-BioNTech
2021-03-03
Health check-in — day 0, dose 2
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Dose 3 — Pfizer-BioNTech
2021-09-25
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-26
Survey response — days 1–6 daily, dose 3
MedDRA: Neck pain — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain on my neck area. Also drank alcohol last night.

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Survey response — days 1–6 daily, dose 3
MedDRA: Medical counselling, Throat irritation — Feeling: Fair · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My throat got extremely itchy this morning after developing last night. I got the COVID booster and the flu shot at the same time in the same arm. Walgreens pharmacist said it was okay.

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-09-28
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Runny nose, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Nasal congestion, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I also have a cold right now and am experiencing those symptoms at the moment. Chest congestion, runny nose, nasal congestion, sneezing and coughing.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-30
Call 1 — Requested Callback
2021-09-30
Callback requested for
04:00PM ET
2021-10-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Call successful
Participant prefers to complete VAERS report online
2021-10-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-25
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Dose 4 — Moderna
2022-09-29
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-06
Survey response — day 7, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 14, dose 4
MedDRA: Oropharyngeal pain, Productive cough — Feeling: Good · Be unable to work or attend school

Free text: Sore throat and productive cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Pfizer-BioNTech
2	2021-03-03	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No
4	2022-09-29	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 3

2021-09-26

Systemic reaction (other): Pain on my neck area. Also drank alcohol last night.

2021-09-27

Systemic reaction (other): My throat got extremely itchy this morning after developing last night. I got the COVID booster and the flu shot at the same time in the same arm. Walgreens pharmacist said it was okay.

2021-09-28

Systemic reaction (other): Runny nose, sore throat

2021-09-29

Systemic reaction (other): I also have a cold right now and am experiencing those symptoms at the moment. Chest congestion, runny nose, nasal congestion, sneezing and coughing.

Release 12 — day 7, dose 4

2022-10-06

Systemic reaction (other): Sore throat

Release 12 — day 14, dose 4

2022-10-14

Symptoms: Sore throat and productive cough

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	Oropharyngeal pain	·	·	✓
SD	Productive cough	·	·	✓
SRO	Cough	·	·	✓
SRO	Medical counselling	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Throat irritation	·	·	✓

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