6ES-16991-32072

4 vaccinations 12 coded responses 47 check-ins 12 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 198 / DE
Registered: 2021-03-13

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

2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Headache — Feeling: Good · Site: Pain

Free text: had slight headache and dizzy yesterday after the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Maybe just a little dizzy at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Have to force myself to do things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Nervousness — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Nervousness mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 1
MedDRA: Back pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Back pain between shoulder blades

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 14, dose 1
MedDRA: Office visit, Peripheral vascular disorder, Vitreous detachment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: PVD right eye · Healthcare visit (other): Eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-06
Dose 2 — Pfizer-BioNTech
2021-04-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Mid back ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Myalgia, Pain in extremity, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Seem to be more tired during the day, not sleeping as good. Some pain in arm and leg muscles and joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Pfizer-BioNTech
2021-10-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased, Injection site pain, Poor quality sleep — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Did not sleep well, due to pain at injection site. Heart rate during the night faster than normal for me, but still in the normal range.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Abdominal pain

Free text: Slight upset stomach

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-18
Call 1 — Left Voicemail
2022-01-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Neuralgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in joints in both hands per Doctor Coming from nerves in elbows · Healthcare visit (other): Doctor office

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-01
Call 1 — Requested Callback
2022-03-23
Call 2 — Left Voicemail
2022-03-23
Callback requested for
11:00AM ET
2022-03-23
Call successful
Does not wish to fill out VAERS report
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Survey response — 3 months, dose 4
MedDRA: Neuralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Nerve pain in hands, fingers and feet · Healthcare visit (other): In office

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-25
Call successful
Does not wish to fill out VAERS report
2022-10-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-19
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-06	Pfizer-BioNTech
3	2021-10-26	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): had slight headache and dizzy yesterday after the shot

2021-03-14

Systemic reaction (other): Maybe just a little dizzy at times

2021-03-15

Systemic reaction (other): Have to force myself to do things

2021-03-18

Systemic reaction (other): Nervousness mild

Release 6 — day 7, dose 1

2021-03-19

Systemic reaction (other): Back pain between shoulder blades

Release 6 — day 14, dose 1

2021-03-26

Symptoms: PVD right eye

Healthcare visit (other): Eye doctor

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Mid back ache

Release 8 — day 42, dose 2

2021-05-18

Symptoms: Seem to be more tired during the day, not sleeping as good. Some pain in arm and leg muscles and joint pain.

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Did not sleep well, due to pain at injection site. Heart rate during the night faster than normal for me, but still in the normal range.

2021-10-28

Systemic reaction (other): Slight upset stomach

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: Pain in joints in both hands per Doctor Coming from nerves in elbows

Healthcare visit (other): Doctor office

Release 12 — 3 months, dose 4

2022-07-22

Symptoms: Nerve pain in hands, fingers and feet

Healthcare visit (other): In office

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neuralgia	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral vascular disorder	○	✓	○
SD	Somnolence	✓	✓	✓
SD	Vitreous detachment	✓	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Nervousness	✓	✓	✓
SRO	Poor quality sleep	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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