54Y-19531-88719

3 vaccinations 8 coded responses 20 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 950 / CA
Registered: 2021-01-12

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-12
Registered in v-safe
2021-01-13
Health check-in — day 7, dose 1
Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-02-10
Survey response — day 14, dose 2
MedDRA: Discomfort, Dizziness, Nausea, Vomiting — Feeling: Poor · Be unable to work

Free text: I felt dizziness with nausea and vomiting. Until now i still not feeling comfortable. My temp is normal though no shortness of breath. Dizziness is the same side of that injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headache one sided at the injection side better than 2/8/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 28, dose 2
MedDRA: Dizziness, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left sided headache occassionaly. Dizziness. Still more frequent.but no more nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 35, dose 2
MedDRA: Dizziness, Head discomfort — 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

Free text: Heaviness on my head that comes with dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Head discomfort, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Heaviness on my head but i am tested negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Pulsating headache occassionally · Healthcare visit (other): Chiropractor and my primary

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Call 1 — Left Voicemail
2021-10-09
Dose 3 — Pfizer-BioNTech
2022-01-29
Survey response — 12 months, dose 2
MedDRA: Headache, Nasal congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still headaches left sided. Clogged left nosetril

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-09
Survey response — 12 months, dose 3
MedDRA: Rash, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities

Free text: Skin rashes that are very itchy.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2021-10-09	Pfizer-BioNTech	No

Call center

3 call center cases

2 unsuccessful · 1 priority 2/3 (triaged and no follow up)

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-10

Symptoms: I felt dizziness with nausea and vomiting. Until now i still not feeling comfortable. My temp is normal though no shortness of breath. Dizziness is the same side of that injection site.

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Headache one sided at the injection side better than 2/8/21

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Left sided headache occassionaly. Dizziness. Still more frequent.but no more nausea.

Release 5 — day 35, dose 2

2021-03-03

Symptoms: Heaviness on my head that comes with dizziness.

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Heaviness on my head but i am tested negative

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Pulsating headache occassionally

Healthcare visit (other): Chiropractor and my primary

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: Still headaches left sided. Clogged left nosetril

Release 12 — 12 months, dose 3

2022-10-09

Symptoms: Skin rashes that are very itchy.

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	Discomfort	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Vomiting	✓	✓	✓

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