3MC-21945-96448

2 vaccinations 16 coded responses 23 check-ins 16 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 113 / NY
Registered: 2021-03-22

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

2021-03-21
Dose 1 — Pfizer-BioNTech
2021-03-22
Registered in v-safe
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Malaise — Feeling: Fair

Free text: Early morning coughing. Malaise despirit. Time dispersion losing track of time, have to set alarms on cell phone to remain current and keep track of medications.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 21, dose 1
MedDRA: Cough — Feeling: Fair

Free text: Morning cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Dose 2 — Pfizer-BioNTech
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo on trying to get out of bed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Fatigue or tiredness

Free text: Vertigo upon arising from sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Vertigo upon arising from sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Good

Free text: Vertigo upon going to or arising from sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — day 7, dose 2
MedDRA: Vertigo — Feeling: Good

Free text: Vertigo upon going to and arising from sleep on bed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 14, dose 2
MedDRA: Arthralgia, Vertigo — Feeling: Fair

Free text: Vertigo upon arising from sleep. Joint pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 21, dose 2
MedDRA: Arthralgia, Malaise, Office visit, Pre-existing disease, Tinnitus, Vertigo — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Vertigo now occurs during awake periods when I look or reach upward. Prolonged periods of pain in left knee where I have chronic ACL, Tinnitus present in both ears as opposed to only left one. Overall feeling of being out of sought. · Healthcare visit (other): ENT Specislist office visit and scheduled for further testing in next 2 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Survey response — day 28, dose 2
MedDRA: Arthralgia, Gait disturbance, Joint instability, Vertigo, Vertigo positional — Feeling: Poor · Be unable to do your normal daily activities

Free text: Vertigo now present in daytime as well as when getting in and out of bed. Exceptional soreness and instability in left knee.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 35, dose 2
MedDRA: Arthralgia, Myalgia, Tinnitus, Vertigo — Feeling: Poor · Be unable to do your normal daily activities

Free text: Vertigo persist present when I move my head. Tinnitus persist . Pain left knee & right bicep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 42, dose 2
MedDRA: Arthralgia, Pain in extremity, Vertigo — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Soreness in right arm and left knee cap. Vertigo continues at night upon going to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-18
Survey response — 3 months, dose 2
MedDRA: Blood blister, Fatigue, Muscle spasms, Office visit, Paraesthesia, Tinnitus, Tooth fracture, Tooth restoration, Vertigo — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Severe right Leg cramps at night. Toes tingling. Large blood blister on large right toe. Tinnitus continues. Vertigo subsided. Very fatigued. Tooth chipped necessitating new filing. · Healthcare visit (other): Dentist

MedDRA releases: 2024-11 · check-in free text available
2021-07-18
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call 1 — Left Voicemail
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Blood blister, Muscular weakness, Nocturia, Office visit, Pollakiuria, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Develop blood blisters on both large toes. DPM treated condition. Weakness in bicep right arm. Lost 10 lbs of fatty tissue is prominent & measurements same. Vertigo upon awakening episode. Numerous night time urinations & sudden rush @ during daytime · Healthcare visit (other): Visited DPM & also neurologist offices.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-21
Call 1 — Could Not Reach Participant
2021-10-26
Call 2 — Could Not Reach Participant
2022-04-20
Survey response — 12 months, dose 2
MedDRA: Feeling cold, Immobile, Muscular weakness, Office visit, Poor quality sleep, Prostatic disorder, Tooth fracture, Unevaluable event, Visual impairment — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Prostare problems, imbolity in left leg at knee, foot problems, weakness in upper body particularly arms. Worsening eye sight. Teeth chipping. Poor sleep. Always feeling cold & thermometers. · Healthcare visit (other): Group practices

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-21
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-18	Pfizer-BioNTech

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Early morning coughing. Malaise despirit. Time dispersion losing track of time, have to set alarms on cell phone to remain current and keep track of medications.

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Morning cough.

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Vertigo

2021-04-21

Systemic reaction (other): Vertigo on trying to get out of bed.

2021-04-22

Systemic reaction (other): Vertigo upon arising from sleep

2021-04-23

Systemic reaction (other): Vertigo upon arising from sleep.

2021-04-24

Systemic reaction (other): Vertigo upon going to or arising from sleep.

Release 7 — day 7, dose 2

2021-04-25

Systemic reaction (other): Vertigo upon going to and arising from sleep on bed.

Release 8 — day 14, dose 2

2021-05-02

Symptoms: Vertigo upon arising from sleep. Joint pains.

Release 8 — day 21, dose 2

2021-05-09

Symptoms: Vertigo now occurs during awake periods when I look or reach upward. Prolonged periods of pain in left knee where I have chronic ACL, Tinnitus present in both ears as opposed to only left one. Overall feeling of being out of sought.

Healthcare visit (other): ENT Specislist office visit and scheduled for further testing in next 2 weeks.

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Vertigo now present in daytime as well as when getting in and out of bed. Exceptional soreness and instability in left knee.

Release 8 — day 35, dose 2

2021-05-23

Symptoms: Vertigo persist present when I move my head. Tinnitus persist . Pain left knee & right bicep.

Release 8 — day 42, dose 2

2021-06-01

Symptoms: Soreness in right arm and left knee cap. Vertigo continues at night upon going to sleep.

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: Severe right Leg cramps at night. Toes tingling. Large blood blister on large right toe. Tinnitus continues. Vertigo subsided. Very fatigued. Tooth chipped necessitating new filing.

Healthcare visit (other): Dentist

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Develop blood blisters on both large toes. DPM treated condition. Weakness in bicep right arm. Lost 10 lbs of fatty tissue is prominent & measurements same. Vertigo upon awakening episode. Numerous night time urinations & sudden rush @ during daytime cut off by CDC

Healthcare visit (other): Visited DPM & also neurologist offices.

Release 11 — 12 months, dose 2

2022-04-20

Symptoms: Prostare problems, imbolity in left leg at knee, foot problems, weakness in upper body particularly arms. Worsening eye sight. Teeth chipping. Poor sleep. Always feeling cold & thermometers.

Healthcare visit (other): Group practices

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	Arthralgia	✓	✓	✓
SD	Blood blister	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling cold	·	·	✓
SD	Gait disturbance	○	✓	○
SD	Immobile	·	·	✓
SD	Joint instability	✓	·	✓
SD	Malaise	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nocturia	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Pollakiuria	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Prostatic disorder	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Tooth fracture	·	·	✓
SD	Tooth restoration	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vertigo	✓	✓	✓
SD	Vertigo positional	✓	·	✓
SD	Visual impairment	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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