47C-75149-65739

4 vaccinations 29 coded responses 53 check-ins 28 free-text entries 11 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 501 / IA
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-16
Survey response — day 0, dose 1
MedDRA: Increased appetite — Feeling: Good · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Increased Appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Increased appetite — Feeling: Good · Site: Pain, Swelling, Itching · Fever · Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Increased Appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Increased appetite — Feeling: Good · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Increased Appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Increased appetite — Feeling: Good

Free text: Increased Appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-06
Dose 2 — Pfizer-BioNTech
2021-04-06
Survey response — day 0, dose 2
MedDRA: Increased appetite, Visual impairment — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Seeing Spots, Increased Appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of Breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · 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

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · 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: Pressure in Chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — days 1–6 daily, dose 2
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)
2021-04-13
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 21, dose 2
MedDRA: Anxiety, Constipation, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Anxiety; Headaches; Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 21, dose 2
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)
2021-05-04
Survey response — day 28, dose 2
MedDRA: Migraine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 35, dose 2
MedDRA: Abdominal pain, Diarrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Abdominal Pain, Cramping; Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 35, dose 2
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)
2021-05-20
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Constipation, Flatulence, Seizure — Feeling: Good · 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, Outpatient clinic or urgent care clinic visit

Free text: Constipation; Abdominal Cramping; Gas; Seizures

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 42, dose 2
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)
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Chest discomfort, Dyspnoea, Migraine, Pre-existing disease, Suicidal ideation — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Suicidal Ideation; Generalized Anxiety Disorder; Hyperlipidemia; Hypertension; Have been experiencing chest pressure, shortness of breath & migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 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

1 call case(s)
2021-07-08
Call 1 — Could Not Reach Participant
2021-07-08
Call successful
Participant prefers to complete VAERS report online
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2021-10-06
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-10-06
Report sent to call center — day 0, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · 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

Adult check-in
2021-10-07
Report sent to call center — days 1–6 daily, dose 3
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 · 1 call case(s)
2021-10-07
Call successful
Participant prefers to complete VAERS report online
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · 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
2021-10-12
Call successful
Participant prefers to complete VAERS report online
2021-10-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-20
Survey response — day 14, dose 3
MedDRA: Constipation, Testicular pain — 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 · Outpatient clinic or urgent care clinic visit

Free text: Constipation, testicular pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — day 14, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-21
Call successful
Does not wish to fill out VAERS report
2021-10-28
Survey response — day 21, dose 3
MedDRA: Groin pain, Office visit, Scrotal pain, Testicular pain — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Testicular / Scrotal / Groin Pain · Healthcare visit (other): Urology

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-29
Call 1 — Requested Callback
2021-10-29
Callback requested for
03:30PM ET
2021-11-03
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-03
Call successful
Does not wish to fill out VAERS report
2021-11-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-17
Survey response — day 42, dose 3
MedDRA: Scrotal pain, Testicular pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Scrotal/Testicular Pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-18
Call successful
Does not wish to fill out VAERS report
2022-01-07
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-06
Survey response — 6 months, dose 3
MedDRA: Gastrointestinal disorder, Groin pain, Testicular pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Groin/testicular pain; Gastrointestinal issues;

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Dose 4 — Moderna
2022-07-22
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-07-23
Survey response — days 1–6 daily, dose 4
MedDRA: Blepharospasm — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Eye twitch

MedDRA releases: 2024-11 · check-in free text available
2022-07-24
Survey response — days 1–6 daily, dose 4
MedDRA: Blepharospasm — Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Free text: Eye Twitching

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Survey response — days 1–6 daily, dose 4
MedDRA: Blepharospasm — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work or attend school

Free text: Eye Twitching

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Survey response — days 1–6 daily, dose 4
MedDRA: Blepharospasm, Palpitations — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart Palpitations; Eye Twitch

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Survey response — days 1–6 daily, dose 4
MedDRA: Blepharospasm, Palpitations — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Free text: Heart Palpitations & Eye Twitch

MedDRA releases: 2024-11 · check-in free text available
2022-07-28
Survey response — days 1–6 daily, dose 4
MedDRA: Blepharospasm, Chest discomfort, Palpitations — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart Palpitations, Chest tightness, Eye twitching

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Survey response — day 7, dose 4
MedDRA: Blepharospasm, Palpitations — Feeling: Good

Free text: Heart Palpitations; Eye Twitching

MedDRA releases: 2024-11 · check-in free text available
2022-08-07
Survey response — day 14, dose 4
MedDRA: Palpitations — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart Palpitations have continued and have not resolved.

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Survey response — day 21, dose 4
MedDRA: Abdominal pain, Abdominal pain upper, Chromaturia, Constipation, Insomnia, Migraine, Palpitations, Urine output decreased — Feeling: Fair · Be unable to work or attend school

Free text: Heart Palpitations have been everyday but are not as frequent as last week. Stomach & abdominal pain; constipation; decreased urine output and darker urine; migraines; and insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-08-19
Survey response — day 28, dose 4
MedDRA: Constipation, Palpitations — Feeling: Fair · Be unable to work or attend school

Free text: Constipation & Heart Palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-08-26
Survey response — day 35, dose 4
MedDRA: Constipation, Palpitations — Feeling: Fair · Be unable to work or attend school

Free text: Constipation & Heart Palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-09-02
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-10-23
Survey response — 3 months, dose 4
MedDRA: Blood glucose decreased, Migraine, Palpitations — 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 · Outpatient clinic or urgent care clinic visit

Free text: SEVERE MIGRAINES, LOW BLOOD SUGAR, HEART PALPITATIONS

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-26
Call successful
Does not wish to fill out VAERS report
2023-01-22
Survey response — 6 months, dose 4
MedDRA: Palpitations — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-06	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-07-22	Moderna	No

Call center

11 call center cases

11 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Increased Appetite

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Increased Appetite

2021-03-18

Systemic reaction (other): Increased Appetite

2021-03-19

Systemic reaction (other): Increased Appetite

Release 7 — day 0, dose 2

2021-04-06

Systemic reaction (other): Seeing Spots, Increased Appetite

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Shortness of Breath

2021-04-12

Systemic reaction (other): Pressure in Chest

Release 8 — day 21, dose 2

2021-04-27

Symptoms: Anxiety; Headaches; Constipation

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Migraines

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Abdominal Pain, Cramping; Diarrhea

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Constipation; Abdominal Cramping; Gas; Seizures

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Suicidal Ideation; Generalized Anxiety Disorder; Hyperlipidemia; Hypertension; Have been experiencing chest pressure, shortness of breath & migraines

Release 10 — day 14, dose 3

2021-10-20

Symptoms: Constipation, testicular pain

Release 10 — day 21, dose 3

2021-10-28

Symptoms: Testicular / Scrotal / Groin Pain

Healthcare visit (other): Urology

Release 10 — day 42, dose 3

2021-11-17

Symptoms: Scrotal/Testicular Pain

Release 11 — 6 months, dose 3

2022-04-06

Symptoms: Groin/testicular pain; Gastrointestinal issues;

Release 12 — days 1–6 daily, dose 4

2022-07-23

Systemic reaction (other): Eye twitch

2022-07-24

Systemic reaction (other): Eye Twitching

2022-07-25

Systemic reaction (other): Eye Twitching

2022-07-26

Systemic reaction (other): Heart Palpitations; Eye Twitch

2022-07-27

Systemic reaction (other): Heart Palpitations & Eye Twitch

2022-07-28

Systemic reaction (other): Heart Palpitations, Chest tightness, Eye twitching

Release 12 — day 7, dose 4

2022-07-29

Systemic reaction (other): Heart Palpitations; Eye Twitching

Release 12 — day 14, dose 4

2022-08-07

Symptoms: Heart Palpitations have continued and have not resolved.

Release 12 — day 21, dose 4

2022-08-12

Symptoms: Heart Palpitations have been everyday but are not as frequent as last week. Stomach & abdominal pain; constipation; decreased urine output and darker urine; migraines; and insomnia

Release 12 — day 28, dose 4

2022-08-19

Symptoms: Constipation & Heart Palpitations

Release 12 — day 35, dose 4

2022-08-26

Symptoms: Constipation & Heart Palpitations

Release 12 — 3 months, dose 4

2022-10-23

Symptoms: SEVERE MIGRAINES, LOW BLOOD SUGAR, HEART PALPITATIONS

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	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Anxiety	✓	✓	✓
SD	Blood glucose decreased	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chromaturia	·	·	✓
SD	Constipation	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Groin pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Migraine	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Scrotal pain	·	·	✓
SD	Seizure	✓	✓	✓
SD	Suicidal ideation	✓	✓	✓
SD	Testicular pain	·	·	✓
SD	Urine output decreased	·	·	✓
SRO	Blepharospasm	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Increased appetite	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Visual impairment	✓	✓	✓

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