6C5-16221-38598

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 2 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 085 / NJ
Registered: 2021-04-22

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

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-22
Registered in v-safe
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Ocular hyperaemia — Feeling: Good

Free text: Half of one eye has been very red since I woke up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Oral herpes, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cold sores and seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Arthralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Knee pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-27
Call successful
Participant prefers to complete VAERS report online
2021-12-20
Dose 3 — Pfizer-BioNTech
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Palpitations — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Shortness of breath and palpitations in the chest

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Respiratory disorder — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizziness and issues with breathing

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Muscle or body aches

Adult check-in
2021-12-27
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-12-27
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-10
Survey response — day 21, dose 3
MedDRA: Dyspnoea, Pulse abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feeling of a pumping chest last night for a considerable amount of time and some shortness of breath in the morning

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — day 28, dose 3
MedDRA: Dyspnoea, Palpitations — Feeling: Fair

Free text: Shortness of breath and pumping chest in the night/ early morning

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-31
Survey response — day 42, dose 3
MedDRA: Chest discomfort, Dyspnoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Shortness of breath in the night along with a pumping feeling in the chest.

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Survey response — 3 months, dose 3
MedDRA: Palpitations — Feeling: Fair

Free text: Palpitations in the chest area

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-20
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2021-12-20	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Half of one eye has been very red since I woke up

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Cold sores and seasonal allergies

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Knee pain

Release 10 — days 1–6 daily, dose 3

2021-12-22

Systemic reaction (other): Shortness of breath and palpitations in the chest

2021-12-23

Systemic reaction (other): Dizziness and issues with breathing

Release 10 — day 21, dose 3

2022-01-10

Symptoms: Feeling of a pumping chest last night for a considerable amount of time and some shortness of breath in the morning

Release 10 — day 28, dose 3

2022-01-17

Symptoms: Shortness of breath and pumping chest in the night/ early morning

Release 11 — day 42, dose 3

2022-01-31

Symptoms: Shortness of breath in the night along with a pumping feeling in the chest.

Release 11 — 3 months, dose 3

2022-03-21

Symptoms: Palpitations in the chest area

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	Arthralgia	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Oral herpes	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pulse abnormal	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Respiratory disorder	·	·	✓

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