3H3-27535-39210

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 129 / NY
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Pfizer-BioNTech
2021-02-27
Survey response — day 0, dose 1
MedDRA: Immediate post-injection reaction — Feeling: Good · Fever · Abdominal pain

Free text: Rosacea within 10 minutes of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Abdominal pain

Free text: Very little appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Dizziness, Fatigue — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness and tired, lack of apprtite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Respiratory tract congestion — Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Periodic head congestion and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Eye irritation, Nasal congestion — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Burning eyes, lack of appetite, nasal congestion,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Pre-existing disease — Feeling: Poor · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Burning eyes, gulf war vet that had experimental anthrax vaccine in early 90s.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 7, dose 1
Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 2
Feeling: Good · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Axillary pain, Dizziness, Eye irritation — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness,pain under armpits,burning eyes feeling of dread

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension — Feeling: Fair · Nausea · Be unable to do your normal daily activities

Free text: Bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 7, dose 2
MedDRA: Back pain — Feeling: Fair · Nausea

Free text: Back pain,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 28, dose 2
MedDRA: Nausea, Pre-existing disease, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe rosacea and nausea reoccurring. Had fever of 100.2 last night with rosacea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 35, dose 2
MedDRA: Diverticulitis, Feeling hot, Gait disturbance, Rosacea — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have continual rosacea and my face gets super hot like its on fire. This started after the first Pfizer shot. This week I got diverticulitis so bad I could hardly walk. Im on antibiotics and rest. I havent had an attack over 10 years.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Survey response — 6 months, dose 2
MedDRA: Abdominal distension, Abdominal pain, Abdominal pain upper, Flatulence, Musculoskeletal chest pain, Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abdominal pain, nausea burning pain from stmach to under right ribcage,gassy and bloated.

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Survey response — 12 months, dose 2
MedDRA: Chills, Cough, Dizziness, Fatigue, Headache, Nausea, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Exhaustion, chills, fever, headaches, congestion, nausea, dizziness, coughing.

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-22
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-27

Systemic reaction (other): Rosacea within 10 minutes of injection

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Very little appetite

2021-03-02

Systemic reaction (other): Dizziness and tired, lack of apprtite

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Periodic head congestion and dizziness

2021-03-04

Systemic reaction (other): Burning eyes, lack of appetite, nasal congestion,

2021-03-05

Systemic reaction (other): Burning eyes, gulf war vet that had experimental anthrax vaccine in early 90s.

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Dizziness,pain under armpits,burning eyes feeling of dread

2021-03-26

Systemic reaction (other): Bloating

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): Back pain,

Release 7 — day 28, dose 2

2021-04-17

Symptoms: Severe rosacea and nausea reoccurring. Had fever of 100.2 last night with rosacea.

Release 7 — day 35, dose 2

2021-04-24

Symptoms: I have continual rosacea and my face gets super hot like its on fire. This started after the first Pfizer shot. This week I got diverticulitis so bad I could hardly walk. Im on antibiotics and rest. I havent had an attack over 10 years.

Release 9 — 6 months, dose 2

2021-09-18

Symptoms: Abdominal pain, nausea burning pain from stmach to under right ribcage,gassy and bloated.

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: Exhaustion, chills, fever, headaches, congestion, nausea, dizziness, coughing.

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 distension	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diverticulitis	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	✓	✓	✓
SD	Flatulence	·	·	✓
SD	Gait disturbance	✓	✓	✓
SD	Headache	·	·	✓
SD	Musculoskeletal chest pain	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rosacea	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓

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