3Q6-30594-39718

3 vaccinations 17 coded responses 26 check-ins 16 free-text entries 8 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 967 / HI
Registered: 2021-02-01

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

2021-01-29
Dose 1 — Pfizer-BioNTech
2021-02-01
Registered in v-safe
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Hypoaesthesia oral — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hard to swallow, tingle numb tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Diarrhoea, Fatigue, Mucosal inflammation, Productive cough, Secretion discharge — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Lots of mucus and phlegm, tired, tight chest, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Productive cough, Secretion discharge — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Mucus and phlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Tired like I have the flu and I do feel like I am coming down with it. Breathing not completely labored but walking makes me breathe harder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-08-01
Survey response — 6 months, dose 1
MedDRA: Allergy test positive, Hypersensitivity, Muscular weakness, Office visit, Pain, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My joints and muscle pains are worse.Allergies are worse. More allergies according to test.Less muscle strength.Neurologist is now seeing me for above and an added symptom like parenthesis, best way to describe that.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Dose 2 — Pfizer-BioNTech
2021-08-27
Survey response — day 0, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Asthma and allergies

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-08-29
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Pre-existing disease, Rhinorrhoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Asthma and allergies and allergy reactions and runny nose and cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Cough, Migraine, Paranasal sinus hypersecretion, Pre-existing disease, Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Asthma, allergies, migraine, sinus discharge, congestion, and coughing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Report sent to call center — days 1–6 daily, 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

1 call case(s)
2021-08-31
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · 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

Free text: Sinus and coughing and breath

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Report sent to call center — days 1–6 daily, 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

1 call case(s)
2021-08-31
Call 2 — Left Voicemail
2021-09-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Ear discomfort, Respiratory tract congestion, Sensory disturbance — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · 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

Free text: Clogged ears, light headed, and sensory problems with congestion.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Report sent to call center — days 1–6 daily, 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

1 call case(s)
2021-09-02
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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

Free text: Runny nose, coughing, and congestion

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — days 1–6 daily, 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

1 call case(s)
2021-09-03
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-06
Call successful
Not applicable - Accidental Reporting
2021-09-10
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Hypersensitivity, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Diarrhea really kicked in. My diet is pretty stable and consist of things that help eliminate that kind of problem. Although I had a diarrhea problem during symptoms of vaccine shot it really kicked up after 7th day to now. Allergies are worse · Healthcare visit (other): Extra antihistamine was prescribed.

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call successful
Not applicable - Accidental Reporting
2021-09-17
Survey response — day 21, dose 2
MedDRA: Chills, Diarrhoea, Dyspnoea, Office visit, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diarrhea did not go away even though my diet is the same, still getting chills and when it comes its bad, breathe no is still not at capacity, weird sneezing just random and not allergy related. · Healthcare visit (other): Face to face with primary doctor

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — day 21, 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

1 call case(s)
2021-09-20
Call successful
Participant prefers to complete VAERS report online
2021-09-24
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-10-01
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: My stomach is consistently aching and no diet change, no enviromental change. Actually since vax that got worse. Sneezing for no reason.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-11-26
Survey response — 3 months, dose 2
MedDRA: Headache, Myalgia, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: A lot of sneezing, headaches, and muscle aches.

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-05-13
Dose 3 — Moderna
2022-06-20
Survey response — day 35, dose 3
MedDRA: Chills, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Extreme fatigue and chills.

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-21
Call 1 — Could Not Reach Participant
2022-06-21
Call 1 — Could Not Reach Participant
2022-06-21
Call 1 — Could Not Reach Participant
2022-06-21
Call 1 — Could Not Reach Participant
2022-06-21
Call 1 — Could Not Reach Participant
2022-06-21
Call 1 — Could Not Reach Participant
2022-06-21
Call 1 — Could Not Reach Participant
2022-06-21
Call 1 — Could Not Reach Participant
2022-06-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-06-24
Call successful
Participant prefers to complete VAERS report online
2023-05-15
Survey response — 12 months, dose 3
MedDRA: Abdominal discomfort, Dizziness, Feeling abnormal, Malaise, Upper-airway cough syndrome — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-08-27	Pfizer-BioNTech	No
3	2022-05-13	Moderna	No

Call center

8 call center cases

8 successful

VAERS report filed, before or during a call: 1

6 waits over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Hard to swallow, tingle numb tongue

2021-02-03

Systemic reaction (other): Lots of mucus and phlegm, tired, tight chest, diarrhea

2021-02-04

Systemic reaction (other): Mucus and phlegm

Release 4 — day 21, dose 1

2021-02-19

Symptoms: Tired like I have the flu and I do feel like I am coming down with it. Breathing not completely labored but walking makes me breathe harder.

Release 9 — 6 months, dose 1

2021-08-01

Symptoms: My joints and muscle pains are worse.Allergies are worse. More allergies according to test.Less muscle strength.Neurologist is now seeing me for above and an added symptom like parenthesis, best way to describe that.

Release 9 — day 0, dose 2

2021-08-27

Systemic reaction (other): Asthma and allergies

Release 9 — days 1–6 daily, dose 2

2021-08-29

Systemic reaction (other): Asthma and allergies and allergy reactions and runny nose and cough

2021-08-30

Systemic reaction (other): Asthma, allergies, migraine, sinus discharge, congestion, and coughing

2021-08-31

Systemic reaction (other): Sinus and coughing and breath

2021-09-01

Systemic reaction (other): Clogged ears, light headed, and sensory problems with congestion.

2021-09-02

Systemic reaction (other): Runny nose, coughing, and congestion

Release 9 — day 14, dose 2

2021-09-10

Symptoms: Diarrhea really kicked in. My diet is pretty stable and consist of things that help eliminate that kind of problem. Although I had a diarrhea problem during symptoms of vaccine shot it really kicked up after 7th day to now. Allergies are worse

Healthcare visit (other): Extra antihistamine was prescribed.

Release 9 — day 21, dose 2

2021-09-17

Symptoms: Diarrhea did not go away even though my diet is the same, still getting chills and when it comes its bad, breathe no is still not at capacity, weird sneezing just random and not allergy related.

Healthcare visit (other): Face to face with primary doctor

Release 9 — day 35, dose 2

2021-10-01

Symptoms: My stomach is consistently aching and no diet change, no enviromental change. Actually since vax that got worse. Sneezing for no reason.

Release 10 — 3 months, dose 2

2021-11-26

Symptoms: A lot of sneezing, headaches, and muscle aches.

Release 12 — day 35, dose 3

2022-06-20

Symptoms: Extreme fatigue and chills.

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Allergy test positive	✓	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	✓	·	✓
SD	Malaise	·	·	✓
SD	Muscular weakness	✓	·	✓
SD	Myalgia	·	·	✓
SD	Office visit	✓	·	✓
SD	Pain	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Sneezing	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Asthma	✓	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	·	✓
SRO	Dysphagia	✓	✓	✓
SRO	Ear discomfort	✓	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Migraine	✓	·	✓
SRO	Mucosal inflammation	○	✓	○
SRO	Paranasal sinus hypersecretion	✓	·	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Productive cough	✓	✓	✓
SRO	Respiratory tract congestion	✓	·	✓
SRO	Rhinorrhoea	✓	·	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Sensory disturbance	✓	·	✓
SRO	Unevaluable event	✓	·	✓

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