47V-73538-30563

3 vaccinations 8 coded responses 16 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 750 / TX
Registered: 2021-04-02

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work

Free text: Swelling in lymph nodes in arm pit at injection site

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

Free text: Pain and swelling in armpit lymph nodes worse today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen and pain in lymph nodes in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lmph nodes in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, 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
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Exertional headache, Hypertension — 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: High blood pressure and headaches upon rising from bed or chair or car.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
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)
2021-07-29
Call 1 — Left Voicemail
2021-09-03
Call 2 — Left Voicemail
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Dizziness postural, Headache, Syncope — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Spot specific Headaches only on rising starting July 1, 2021, continuing daily until August 1, 2021 and turning into syncope and dizziness only on rising; then September 1, 2021, syncope mutates to occurring both on rising and laying down left side

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Dose 3 — Pfizer-BioNTech
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Canalith repositioning procedure, Otolithiasis, Presyncope, Syncope, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Syncope and near syncope began 08.01.2021 continues every day since Vertigo - otolithiasis began 08.01.21 and continued until 03.05.22 - and therapy Maneuver cured problem

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Survey response — 6 months, dose 3
MedDRA: Anxiety, Fatigue, Presyncope — 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: Near syncope (near fainting), still continuing since August 202; fatigue, anxiety.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — 6 months, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-17
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-11-11	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Swelling in lymph nodes in arm pit at injection site

2021-04-03

Systemic reaction (other): Pain and swelling in armpit lymph nodes worse today

2021-04-04

Systemic reaction (other): Swollen and pain in lymph nodes in armpit

2021-04-05

Systemic reaction (other): Swollen lmph nodes in armpit

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: High blood pressure and headaches upon rising from bed or chair or car.

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Spot specific Headaches only on rising starting July 1, 2021, continuing daily until August 1, 2021 and turning into syncope and dizziness only on rising; then September 1, 2021, syncope mutates to occurring both on rising and laying down left side cut off by CDC

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Syncope and near syncope began 08.01.2021 continues every day since Vertigo - otolithiasis began 08.01.21 and continued until 03.05.22 - and therapy Maneuver cured problem

Release 11 — 6 months, dose 3

2022-05-16

Symptoms: Near syncope (near fainting), still continuing since August 202; fatigue, anxiety.

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	Anxiety	·	·	✓
SD	Canalith repositioning procedure	·	·	✓
SD	Dizziness postural	·	·	✓
SD	Exertional headache	✓	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypertension	✓	·	✓
SD	Otolithiasis	·	·	✓
SD	Presyncope	·	·	✓
SD	Syncope	·	·	✓
SD	Vertigo	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓

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