3CX-11714-15826

4 vaccinations 7 coded responses 20 check-ins 7 free-text entries 1 call case

Sex: Male
Age at first dose: 46-50
ZIP prefix: 151 / PA
Registered: 2021-05-01

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

2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-05-01
Registered in v-safe
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Loss of personal independence in daily activities, Myalgia, Pyrexia — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Not today but i had a headache, joint and muscle aches, and tiredness for 2 days following my first shot. I left work early on the second day. I also had a fever, headache, joint and muscle pain, and tiredness for 3 days following my second shot. I called off on the second day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upset stomach and diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — day 42, dose 2
MedDRA: Cough, Fatigue, Head discomfort — Feeling: Fair

Free text: Head congestion, cough, tired. Probably just a cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Pfizer-BioNTech
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain

Free text: Pain around my armpit.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair

Free text: Pain in armpit on the vaccination side.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair

Free text: Pain under armpit. Its starting to subside.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — 3 months, dose 3
MedDRA: COVID-19, Headache, Oropharyngeal pain, Pain, Paranasal sinus discomfort, Pyrexia — Feeling: Good · 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: Diagnosed with Covid-19. Sore throat, fever of 100.2, headache, body aches, sinus pressure. Symptoms lasted about a week.

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 3 months, 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)
2022-02-11
Call successful
Participant prefers to complete VAERS report online
2022-08-11
Dose 4 — Pfizer-BioNTech
2023-02-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2021-10-28	Pfizer-BioNTech	No
4	2022-08-11	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Not today but i had a headache, joint and muscle aches, and tiredness for 2 days following my first shot. I left work early on the second day. I also had a fever, headache, joint and muscle pain, and tiredness for 3 days following my second shot. I called off on the second day.

Release 8 — day 35, dose 2

2021-05-31

Symptoms: Upset stomach and diarrhea.

Release 8 — day 42, dose 2

2021-06-07

Symptoms: Head congestion, cough, tired. Probably just a cold.

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Pain around my armpit.

2021-11-01

Systemic reaction (other): Pain in armpit on the vaccination side.

2021-11-02

Systemic reaction (other): Pain under armpit. Its starting to subside.

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Diagnosed with Covid-19. Sore throat, fever of 100.2, headache, body aches, sinus pressure. Symptoms lasted about a week.

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	Abdominal discomfort	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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