3RB-14000-49254

2 vaccinations 10 coded responses 16 check-ins 10 free-text entries 4 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 770 / TX
Registered: 2021-03-29

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

Timeline

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

2021-03-08
Dose 1 — Pfizer-BioNTech
2021-03-29
Registered in v-safe
2021-03-29
Dose 2 — Pfizer-BioNTech
2021-03-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lip swelling, Urticaria — Feeling: Poor · Site: Swelling, Itching · Chills, Headache, Abdominal pain, Rash, not including the immediate area around the injection site · 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: Hives for rash. My lip was fat for swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cardiac flutter — Feeling: Good

Free text: Heart fluttering a little yesterday. A bit less today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-04-03
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Urticaria — Feeling: Fair · Site: Itching · Fever · Rash, not including the immediate area around the injection site

Free text: Sweats and hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 7, dose 2
MedDRA: Blood test abnormal, Hyperhidrosis — Feeling: Poor · Rash, not including the immediate area around the injection site

Free text: Sweats again. Blood work came back and SED levels were higher than normal. Will reassess April 24.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 14, dose 2
MedDRA: Headache, Insomnia, Self-medication, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hives all last week till Saturday. So no hives since, or at least no discomfort and no need for meds. headaches over weekend. Tylenol was needed. Trouble sleeping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 21, dose 2
MedDRA: Urticaria — Feeling: Fair

Free text: Continued hives and taking OTC allergy meds for it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 28, dose 2
MedDRA: Feeling jittery, Insomnia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Trouble sleeping and was jittery 1 night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — day 35, dose 2
MedDRA: Urticaria — Feeling: Fair

Free text: More Hives.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 42, dose 2
MedDRA: Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: More itching needing lotion and antihistamine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Respiratory tract congestion, Tinea cruris — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest congestion despite not having a cold. Jock itch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call 2 — Left Voicemail
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-15
Call 1 — Left Voicemail
2022-03-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Pfizer-BioNTech
2	2021-03-29	Pfizer-BioNTech

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Hives for rash. My lip was fat for swelling

2021-04-01

Systemic reaction (other): Heart fluttering a little yesterday. A bit less today.

2021-04-04

Systemic reaction (other): Sweats and hives

Release 6 — day 7, dose 2

2021-04-05

Systemic reaction (other): Sweats again. Blood work came back and SED levels were higher than normal. Will reassess April 24.

Release 7 — day 14, dose 2

2021-04-12

Symptoms: Hives all last week till Saturday. So no hives since, or at least no discomfort and no need for meds. headaches over weekend. Tylenol was needed. Trouble sleeping.

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Continued hives and taking OTC allergy meds for it.

Release 8 — day 28, dose 2

2021-04-26

Symptoms: Trouble sleeping and was jittery 1 night.

Release 8 — day 35, dose 2

2021-05-03

Symptoms: More Hives.

Release 8 — day 42, dose 2

2021-05-10

Symptoms: More itching needing lotion and antihistamine

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Chest congestion despite not having a cold. Jock itch.

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	Feeling jittery	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Tinea cruris	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Blood test abnormal	✓	✓	✓
SRO	Cardiac flutter	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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