5CX-22539-56990

4 vaccinations 9 coded responses 29 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 977 / OR
Registered: 2021-04-30

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

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-30
Registered in v-safe
2021-04-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 42, dose 2
MedDRA: Office visit, Tooth infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Tooth infection · Healthcare visit (other): Visit to a Dentist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-14
Survey response — 12 months, dose 2
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tested posative for Omacrorn in at home test

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Dose 3 — Pfizer-BioNTech
2022-04-22
Health check-in — day 0, dose 3
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · None

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-27
Call successful
Participant prefers to complete VAERS report online
2022-04-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-06
Survey response — day 14, dose 3
MedDRA: Pyrexia — Feeling: Good

Free text: Muld fever at night

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Survey response — day 21, dose 3
MedDRA: Dyspnoea, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-04
Survey response — day 42, dose 3
MedDRA: Injection site pain — Feeling: Good

Free text: The area where i received booster shot remains sore.

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Dose 4 — Pfizer-BioNTech
2022-07-22
Health check-in — day 0, dose 4
Feeling: Good · Fever · None

Adult check-in
2022-07-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-07-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-30
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-21
Survey response — day 28, dose 4
MedDRA: Hyperacusis, Otitis externa — Feeling: Good

Free text: Swimmers ear efficting my hearing

MedDRA releases: 2024-11 · check-in free text available
2022-08-26
Survey response — day 35, dose 4
MedDRA: Dyspnoea — Feeling: Good

Free text: Difficulty breathing, not attribed to the virus.

MedDRA releases: 2024-11 · check-in free text available
2022-09-03
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Chills — Feeling: Good

Free text: I received the new booster shot for a covid 19 varient and had aching joints , and chills. I also had 65+ flu shot in my other arm. This week i am due the new forever pneumonia shot.

MedDRA releases: 2024-11 · check-in free text available
2023-01-20
Survey response — 6 months, dose 4
MedDRA: Nasopharyngitis, Respiratory syncytial virus infection — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2022-04-22	Pfizer-BioNTech	No
4	2022-07-22	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Tooth infection

Healthcare visit (other): Visit to a Dentist

Release 11 — 12 months, dose 2

2022-04-14

Symptoms: Tested posative for Omacrorn in at home test

Release 11 — day 14, dose 3

2022-05-06

Symptoms: Muld fever at night

Release 11 — day 21, dose 3

2022-05-13

Symptoms: Runny nose, shortness of breath

Release 11 — day 42, dose 3

2022-06-04

Symptoms: The area where i received booster shot remains sore.

Release 12 — day 28, dose 4

2022-08-21

Symptoms: Swimmers ear efficting my hearing

Release 12 — day 35, dose 4

2022-08-26

Symptoms: Difficulty breathing, not attribed to the virus.

Release 12 — 3 months, dose 4

2022-10-21

Symptoms: I received the new booster shot for a covid 19 varient and had aching joints , and chills. I also had 65+ flu shot in my other arm. This week i am due the new forever pneumonia shot.

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	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Hyperacusis	·	·	✓
SD	Injection site pain	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Otitis externa	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Tooth infection	✓	✓	✓

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