5N3-47773-80315

5 vaccinations 12 coded responses 26 check-ins 12 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 604 / IL
Registered: 2021-02-15

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

2021-02-13
Dose 1 — Pfizer-BioNTech
2021-02-15
Registered in v-safe
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache

Free text: Swollen neck glands on the side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph glands slowly subsiding in right neck area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Headache

Free text: Slight swollen glands in neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Lymphadenopathy — Feeling: Good · Headache

Free text: Very slight headache and slightly swollen right neck glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Headache

Free text: Still slight swollen right neck glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 7, dose 1
MedDRA: Headache, Lymphadenopathy — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Resolving right neck lymph glands, but left side is now swollen, headache that needed short bed rest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Dose 2 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Right arm muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 28, dose 2
MedDRA: Dysuria — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Dysuria, from brachytherapy seed implants and severe degenerative lumbar osteoarthritis pain after high dose short time steroids to treat above. Steroids reduced lumbar pain, but stopping steroids left me unprepared for sudden pain increase.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — day 35, dose 2
MedDRA: Bladder catheterisation, Radiotherapy, Swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Brachytherapy seed implants and radiation swelling to surrounding areas causing Foley catheter installed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Survey response — day 42, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Good · 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: Symptoms: Complications from brachytherapy seed implants and Dysuria with rectal swelling. Nothing covid19 related. 3 weeks Foley catheter so far. · Healthcare visit (other): Saw oncologist plus spinal surgeon this coming Monday to see if severe lumbar degenerative osteoarthritis adding to problem.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-15
Call 1 — Left Voicemail
2021-06-15
Call 1 — Left Voicemail
2021-06-15
Call 1 — Left Voicemail
2021-06-16
Call successful
Does not wish to fill out VAERS report
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Pfizer-BioNTech
2022-03-06
Survey response — 12 months, dose 2
MedDRA: Spinal decompression, Spinal myelogram — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Lumbar nerve compression L3-4. Laminectomy surgery scheduled April 5th 2022. Has no relationship to vaccine. · Healthcare visit (other): Had myelogram of lumbar spine

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-08
Call 1 — Left Voicemail
2022-03-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-07
Dose 4 — Pfizer-BioNTech
2022-08-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-05
Survey response — 6 months, dose 4
MedDRA: Unevaluable event — Feeling: Good

Free text: Had to increase nitroglycerin sublingual to daily use.

MedDRA releases: 2024-11 · check-in free text available
2023-01-11
Dose 5 — Pfizer-BioNTech
2023-05-07
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Pfizer-BioNTech
2	2021-03-06	Pfizer-BioNTech
3	2021-11-01	Pfizer-BioNTech	No
4	2022-05-07	Pfizer-BioNTech	No
5	2023-01-11	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Swollen neck glands on the side of injection

2021-02-16

Systemic reaction (other): Lymph glands slowly subsiding in right neck area.

2021-02-17

Systemic reaction (other): Slight swollen glands in neck.

2021-02-18

Systemic reaction (other): Very slight headache and slightly swollen right neck glands

2021-02-19

Systemic reaction (other): Still slight swollen right neck glands

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): Resolving right neck lymph glands, but left side is now swollen, headache that needed short bed rest

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Right arm muscle pain

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Dysuria, from brachytherapy seed implants and severe degenerative lumbar osteoarthritis pain after high dose short time steroids to treat above. Steroids reduced lumbar pain, but stopping steroids left me unprepared for sudden pain increase.

Release 7 — day 35, dose 2

2021-04-10

Symptoms: Brachytherapy seed implants and radiation swelling to surrounding areas causing Foley catheter installed.

Release 7 — day 42, dose 2

2021-04-17

Symptoms: Complications from brachytherapy seed implants and Dysuria with rectal swelling. Nothing covid19 related. 3 weeks Foley catheter so far.

Healthcare visit (other): Saw oncologist plus spinal surgeon this coming Monday to see if severe lumbar degenerative osteoarthritis adding to problem.

Release 11 — 12 months, dose 2

2022-03-06

Symptoms: Lumbar nerve compression L3-4. Laminectomy surgery scheduled April 5th 2022. Has no relationship to vaccine.

Healthcare visit (other): Had myelogram of lumbar spine

Release 12 — 6 months, dose 4

2022-11-05

Symptoms: Had to increase nitroglycerin sublingual to daily use.

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	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
HCVO	Spinal myelogram	·	·	✓
SD	Bladder catheterisation	✓	✓	✓
SD	Dysuria	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Radiotherapy	✓	✓	✓
SD	Spinal decompression	·	·	✓
SD	Swelling	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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