5YV-78941-65838

5 vaccinations 10 coded responses 44 check-ins 9 free-text entries 4 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 797 / TX
Registered: 2021-02-04

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-28
Dose 1 — Pfizer-BioNTech
2021-02-04
Registered in v-safe
2021-02-04
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-25
Survey response — day 28, dose 1
MedDRA: Back pain, Headache, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Aches and pains in legs in my back and right arm..some headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Dose 2 — Pfizer-BioNTech
2021-03-02
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Little dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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 — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 28, dose 2
MedDRA: Hypoaesthesia, Pain in extremity, Pyrexia — Feeling: Poor · Be unable to work, 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: Extream right leg pain..numbness .slight fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 28, 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)
2021-04-13
Survey response — day 42, dose 2
MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Poor · Be unable to work, 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

Free text: Right leg pain..extream numbness in foot and toes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
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)
2021-06-01
Survey response — 3 months, dose 2
MedDRA: Anxiety, Brain fog, Fatigue, Memory impairment, Paraesthesia — Feeling: Fair · Be unable to work, 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: Tingling in right foot n toes.extream tierdness cloudy or foggy memory firgetfullness. I have some problem remembering things..anxiety..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — 3 months, 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)
2021-06-17
Call 1 — Left Voicemail
2021-07-07
Call successful
Participant prefers to complete VAERS report online
2021-09-04
Dose 3 — Pfizer-BioNTech
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Asthenia, Depression, Fatigue — Feeling: Poor · Be unable to work or attend school

Free text: Depression ..fatigue..no ebergy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-03-02
Survey response — 12 months, dose 2
MedDRA: Brain fog, Discomfort, Fatigue, Feeling abnormal, Impaired work ability, Memory impairment, Office visit, Pain — 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: Symptoms: Over body pain n heavy uneasy feeling in body..i have stopped working /let go because of how i feel iv been effected in October of kast year..i continue to feel extreme tierdness n feel as tho my memory has been affected / mind fog · Healthcare visit (other): Primary doctor

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 12 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 · 1 call case(s)
2022-03-03
Call successful
Participant prefers to complete VAERS report online
2022-05-03
Dose 4 — Pfizer-BioNTech
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Joint pains

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-10
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-17
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-02
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-24
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-24
Health check-in — day 0, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-31
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-07
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-16
Survey response — day 21, dose 5
MedDRA: Fatigue, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Aches in legs..exream fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-12-05
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-23
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-24
Survey response — 6 months, dose 5
MedDRA: Back pain, Neck pain, Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-03-02	Pfizer-BioNTech
3	2021-09-04	Pfizer-BioNTech	No
4	2022-05-03	Pfizer-BioNTech	No
5	2022-10-24	Pfizer-BioNTech	Flu

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — day 28, dose 1

2021-02-25

Symptoms: Aches and pains in legs in my back and right arm..some headaches.

Release 4 — day 0, dose 2

2021-03-02

Systemic reaction (other): Little dizziness

Release 4 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Light headed

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Extream right leg pain..numbness .slight fever

Release 7 — day 42, dose 2

2021-04-13

Symptoms: Right leg pain..extream numbness in foot and toes

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Tingling in right foot n toes.extream tierdness cloudy or foggy memory firgetfullness. I have some problem remembering things..anxiety..

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: Depression ..fatigue..no ebergy

Release 11 — 12 months, dose 2

2022-03-02

Symptoms: Over body pain n heavy uneasy feeling in body..i have stopped working /let go because of how i feel iv been effected in October of kast year..i continue to feel extreme tierdness n feel as tho my memory has been affected / mind fog

Healthcare visit (other): Primary doctor

Release 12 — day 21, dose 5

2022-11-16

Symptoms: Aches in legs..exream fatigue

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	Anxiety	✓	✓	✓
SD	Asthenia	✓	·	✓
SD	Back pain	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Depression	✓	·	✓
SD	Discomfort	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Impaired work ability	·	·	✓
SD	Memory impairment	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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