524-60693-48561

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 2 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 237 / VA
Registered: 2021-05-20

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

2021-05-20
Registered in v-safe
2021-05-20
Dose 1 — Pfizer-BioNTech
2021-05-20
Survey response — day 0, dose 1
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Runny nose and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-22
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Cough — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Cough and chest pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-27
Survey response — day 7, dose 1
MedDRA: Insomnia — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Insomnia sine shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-26
Survey response — day 35, dose 1
MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair

Free text: New shortness of breath and chest pressure when performing my regular aerobics routine or walking long distances. Same symptoms I had after natural covid infection in Dec 2020. Lasted for a month.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-18
Dose 2 — Pfizer-BioNTech
2021-08-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-08-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-08-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-08-21
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dizziness — Feeling: Fair

Free text: Mild chest discomfort and light headedness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-23
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Good

Free text: Mild insomnia every night since shot

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Headache, Fatigue or tiredness

Free text: mild insomnia since shot

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — day 7, dose 2
MedDRA: Insomnia, Palpitations — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild insomnia and episodes of pounding heart beat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Survey response — day 14, dose 2
MedDRA: Chest discomfort, Cough, Dyspnoea at rest, Dyspnoea exertional, Fatigue, 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 · Emergency room or emergency department visit

Free text: Chest pressure, cough, fatigue, heart palpitations, shortness of breath when lying down or walking a short distance.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Report sent to call center — day 14, 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)
2021-09-08
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-09-08
Call 1 — Left Voicemail
2021-09-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-09-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-16
Survey response — 6 months, dose 2
MedDRA: Pericarditis — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Pericarditis

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Report sent to call center — 6 months, dose 2
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 · Emergency room or emergency department visit · 1 call case(s)
2022-02-17
Call successful
Does not wish to fill out VAERS report
2022-08-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-20	Pfizer-BioNTech
2	2021-08-18	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-20

Systemic reaction (other): Runny nose and cough

Release 8 — days 1–6 daily, dose 1

2021-05-22

Systemic reaction (other): Cough and chest pressure

Release 8 — day 7, dose 1

2021-05-27

Systemic reaction (other): Insomnia sine shot

Release 9 — day 35, dose 1

2021-06-26

Symptoms: New shortness of breath and chest pressure when performing my regular aerobics routine or walking long distances. Same symptoms I had after natural covid infection in Dec 2020. Lasted for a month.

Release 9 — days 1–6 daily, dose 2

2021-08-21

Systemic reaction (other): Mild chest discomfort and light headedness

2021-08-23

Systemic reaction (other): Mild insomnia every night since shot

2021-08-24

Systemic reaction (other): mild insomnia since shot

Release 9 — day 7, dose 2

2021-08-25

Systemic reaction (other): Mild insomnia and episodes of pounding heart beat

Release 9 — day 14, dose 2

2021-09-01

Symptoms: Chest pressure, cough, fatigue, heart palpitations, shortness of breath when lying down or walking a short distance.

Release 11 — 6 months, dose 2

2022-02-16

Symptoms: Pericarditis

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	Chest discomfort	✓	✓	✓
SD	Cough	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea at rest	✓	·	✓
SD	Dyspnoea exertional	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Palpitations	✓	·	✓
SD	Pericarditis	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Palpitations	✓	·	✓
SRO	Rhinorrhoea	✓	✓	✓

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