4NM-76504-80469

3 vaccinations 8 coded responses 18 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 607 / IL
Registered: 2021-02-02

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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: 2day is day2. i did not report yesterday & the 1st was esentiallly too early. I did develope a lot of pain in the left

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: I felt some sight dizziness upon beginning exertion, but that disappeared after further exertion (snowboarding & skiing)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — day 14, dose 1
MedDRA: Herpes zoster — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have developed shinglesstarted late last Wed into Thurs i am taking Valacyclovir 1gm 3xgabapentin 300mg 2xalso was prescribed 800 mg 3x before the gabapentin i am checking to see if i should use both. I messaged the doctor & awaiting a respons

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Survey response — day 21, dose 1
MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — day 28, dose 1
MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Dose 2 — Pfizer-BioNTech
2021-03-09
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: still have PHN from shingles/onset 10 days posterior to dose 1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-16
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 35, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: phnis worse than a few days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Call 1 — Left Voicemail
2021-10-13
Dose 3 — Pfizer-BioNTech
2022-03-11
Survey response — 12 months, dose 2
MedDRA: Paraesthesia — Feeling: Good

Free text: i have had a rather strange tingling in my left arm

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech
2	2021-03-09	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

VAERS report filed, before or during a call: 3

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): 2day is day2. i did not report yesterday & the 1st was esentiallly too early. I did develope a lot of pain in the left

2021-02-06

Systemic reaction (other): I felt some sight dizziness upon beginning exertion, but that disappeared after further exertion (snowboarding & skiing)

Release 4 — day 14, dose 1

2021-02-16

Symptoms: I have developed shinglesstarted late last Wed into Thurs i am taking Valacyclovir 1gm 3xgabapentin 300mg 2xalso was prescribed 800 mg 3x before the gabapentin i am checking to see if i should use both. I messaged the doctor & awaiting a respons

Release 4 — day 21, dose 1

2021-02-23

Symptoms: shingles

Release 5 — day 28, dose 1

2021-03-03

Symptoms: shingles

Release 5 — day 0, dose 2

2021-03-09

Systemic reaction (other): still have PHN from shingles/onset 10 days posterior to dose 1

Release 7 — day 35, dose 2

2021-04-13

Symptoms: phnis worse than a few days ago.

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: i have had a rather strange tingling in my left arm

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	Herpes zoster	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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