3PL-23249-77382

5 vaccinations 17 coded responses 39 check-ins 15 free-text entries 5 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-02-03

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

Registered dependents

RZU-32691-51581 Adult relative or friend · Female · 2021-09-30

Timeline

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

2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-03
Registered in v-safe
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches

Free text: Short term Sweats w mild fever. Fever was also less than 3 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-23
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Profuse sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphonia, Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hoarseness Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Papilloma viral infection, Stress — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweating. HPV on my lower lip due to stress

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphonia, Ear pain, Hyperhidrosis — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweats hoarseness ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Survey response — day 28, dose 2
MedDRA: Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue · Healthcare visit (other): Several GP visits w blood tests

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Survey response — day 35, dose 2
MedDRA: Adverse reaction, Cortisol decreased, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue continues to be a issue. My GP referred me to a specialist based on very very low cortisol levels. · Healthcare visit (other): Follow up w GP post 7 day intense reaction to second Pfizer injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Cataract operation — Feeling: Good · Be unable to do your normal daily activities

Free text: Cataract Surgery right eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-26
Dose 3 — Pfizer-BioNTech
2021-12-30
Call 1 — Left Voicemail
2022-02-08
Call successful
Participant prefers to complete VAERS report online
2022-02-08
Call successful
Participant prefers to complete VAERS report online
2022-02-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-30
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-29
Survey response — 3 months, dose 4
MedDRA: Fatigue, Transurethral prostatectomy, Urinary bladder haemorrhage — Feeling: Fair · Be unable to do your normal daily activities

Free text: TURP surgery. Fatigue, Bleeding from bladder

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Survey response — 6 months, dose 4
MedDRA: Bronchitis, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: diagnosed with acute bronchitis · Healthcare visit (other): GP visit

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-05
Call 2 — Left Voicemail
2022-10-06
Dose 5 — Pfizer-BioNTech
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-10-10
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-20
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-10
Survey response — day 35, dose 5
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fighting a sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-11
Call 3 — Left Voicemail
2022-11-11
Call 2 — Left Voicemail
2022-11-18
Survey response — day 42, dose 5
MedDRA: Chills, Nasopharyngitis, Paranasal sinus hypersecretion, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Common cold virus. It is day 8. I am still working through the chest congestion and sinus drainage. Had a temp of 101 with mild chills and seats for one day.

MedDRA releases: 2024-11 · check-in free text available
2023-01-05
Survey response — 3 months, dose 5
MedDRA: Tendon rupture — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-05
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-06
Call 1 — Left Voicemail
2023-01-06
Call 1 — Left Voicemail
2023-01-06
Call 1 — Left Voicemail
2023-04-06
Survey response — 6 months, dose 5
MedDRA: Carpal tunnel syndrome, Joint impingement — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech
3	2021-10-26	Pfizer-BioNTech	No
4	2022-03-30	Pfizer-BioNTech	No
5	2022-10-06	Pfizer-BioNTech	No

Call center

5 call center cases

2 successful · 3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Short term Sweats w mild fever. Fever was also less than 3 hours

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): No

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Profuse sweating

2021-02-25

Systemic reaction (other): Hoarseness Sweats

2021-02-26

Systemic reaction (other): Sweating. HPV on my lower lip due to stress

2021-02-27

Systemic reaction (other): Sweats

2021-02-28

Systemic reaction (other): Sweats hoarseness ear ache

Release 6 — day 28, dose 2

2021-03-23

Symptoms: Fatigue

Healthcare visit (other): Several GP visits w blood tests

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Fatigue continues to be a issue. My GP referred me to a specialist based on very very low cortisol levels.

Healthcare visit (other): Follow up w GP post 7 day intense reaction to second Pfizer injection

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Cataract Surgery right eye

Release 12 — 3 months, dose 4

2022-06-29

Symptoms: TURP surgery. Fatigue, Bleeding from bladder

Release 12 — 6 months, dose 4

2022-10-03

Symptoms: diagnosed with acute bronchitis

Healthcare visit (other): GP visit

Release 12 — days 1–6 daily, dose 5

2022-10-10

Systemic reaction (other): No

Release 12 — day 35, dose 5

2022-11-10

Symptoms: Fighting a sinus infection

Release 12 — day 42, dose 5

2022-11-18

Symptoms: Common cold virus. It is day 8. I am still working through the chest congestion and sinus drainage. Had a temp of 101 with mild chills and seats for one day.

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	Adverse reaction	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Carpal tunnel syndrome	·	·	✓
SD	Cataract operation	✓	✓	✓
SD	Chills	·	·	✓
SD	Cortisol decreased	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Joint impingement	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	✓	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Tendon rupture	·	·	✓
SD	Transurethral prostatectomy	·	·	✓
SD	Urinary bladder haemorrhage	·	·	✓
SRO	Dysphonia	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Papilloma viral infection	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Stress	✓	✓	✓

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