582-11402-80282

2 vaccinations 6 coded responses 7 check-ins 6 free-text entries 6 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 117 / NY
Registered: 2021-05-11

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

2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-25
Dose 2 — Pfizer-BioNTech
2021-05-11
Registered in v-safe
2021-05-11
Survey response — day 14, dose 2
MedDRA: Hospitalisation — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Hospitalization

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 14, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-16
Survey response — day 21, dose 2
MedDRA: Asthenia, Chest pain, Confusional state, Dyspnoea, Night sweats, Somnolence — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Was discharged from LIJ 5/15 After having biopsy of lymph nodes.Still have following conditionsSoaking night sweatsDifficulty with breathing /chest painWeakness Sleeping most of dayConfusiom

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-23
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-05-30
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy, Platelet count decreased, Splenomegaly — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Swollen spleen,low blood platelets,enlarged lymph node,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-06
Survey response — day 42, dose 2
MedDRA: Haemophagocytic lymphohistiocytosis, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: HLH diagnosis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-25
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: HLH

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-25
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Call 1 — Left Voicemail
2021-07-29
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Hospitalisation, Pre-existing disease — 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, Hospitalization

Free text: HLH returned .He is now hospitalized since 9/28 .Fighting for his life.The Pfizer vaccine is the trigger to his HLH.No precondition involved.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — 6 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-25
Call successful
Other
2021-11-08
Callback requested for
10:00AM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-04-25	Pfizer-BioNTech

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 8 — day 14, dose 2

2021-05-11

Symptoms: Hospitalization

Release 8 — day 21, dose 2

2021-05-16

Symptoms: Was discharged from LIJ 5/15 After having biopsy of lymph nodes.Still have following conditionsSoaking night sweatsDifficulty with breathing /chest painWeakness Sleeping most of dayConfusiom

Release 8 — day 35, dose 2

2021-05-30

Symptoms: Swollen spleen,low blood platelets,enlarged lymph node,

Release 8 — day 42, dose 2

2021-06-06

Symptoms: HLH diagnosis

Release 9 — 3 months, dose 2

2021-07-25

Symptoms: HLH

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: HLH returned .He is now hospitalized since 9/28 .Fighting for his life.The Pfizer vaccine is the trigger to his HLH.No precondition involved.

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	Asthenia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Confusional state	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Haemophagocytic lymphohistiocytosis	✓	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Platelet count decreased	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Somnolence	✓	✓	✓
SD	Splenomegaly	✓	✓	✓
SD	Unevaluable event	○	✓	○

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