4B2-18028-50997

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 580 / ND
Registered: 2021-02-23

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

2021-01-28
Dose 1 — Pfizer-BioNTech
2021-02-18
Dose 2 — Pfizer-BioNTech
2021-02-23
Registered in v-safe
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-02-24
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 14, dose 2
MedDRA: Dizziness, Vision blurred — Feeling: Fair

Free text: Dizziness and blurred vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 21, dose 2
MedDRA: Type 2 diabetes mellitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I am now being treated for Type 2 diabetes and having side effects from my medication Metformin. And I have never fully regained my strength since being treated for prostate cancer last year with a drug that reduced my testosterone way down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Breast inflammation — Feeling: Good

Free text: Inflammation in left breast chest area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Have side effects from medication for diabetes and prostate cancer

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Call 1 — Left Voicemail
2021-12-07
Call 1 — Left Voicemail
2022-02-18
Survey response — 12 months, dose 2
MedDRA: Influenza, Malaise, Nasopharyngitis, SARS-CoV-2 test positive — Feeling: Good · 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: Was sick with flu and cold for over two weeks before and after Christmas. Tested positive for covid at that time

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 12 months, dose 2
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)
2022-02-22
Call successful
Participant prefers to complete VAERS report online
2022-10-13
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-10-13
Health check-in — day 0, dose 3
Feeling: Good · Headache

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-20
Survey response — day 7, dose 3
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Cough and runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-11-03
Survey response — day 21, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair

Free text: Cough and slight congestion

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-11-24
Survey response — day 42, dose 3
MedDRA: Diarrhoea, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Body aches and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2023-01-12
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-18	Pfizer-BioNTech
3	2022-10-13	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 7, dose 2

2021-02-25

Systemic reaction (other): Dizziness

Release 5 — day 14, dose 2

2021-03-04

Symptoms: Dizziness and blurred vision

Release 5 — day 21, dose 2

2021-03-11

Symptoms: I am now being treated for Type 2 diabetes and having side effects from my medication Metformin. And I have never fully regained my strength since being treated for prostate cancer last year with a drug that reduced my testosterone way down.

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Inflammation in left breast chest area

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Have side effects from medication for diabetes and prostate cancer

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Was sick with flu and cold for over two weeks before and after Christmas. Tested positive for covid at that time

Release 12 — day 7, dose 3

2022-10-20

Systemic reaction (other): Cough and runny nose

Release 12 — day 21, dose 3

2022-11-03

Symptoms: Cough and slight congestion

Release 12 — day 42, dose 3

2022-11-24

Symptoms: Body aches and diarrhea

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	Breast inflammation	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Influenza	·	·	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Type 2 diabetes mellitus	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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