6GF-13477-60939

3 vaccinations 15 coded responses 37 check-ins 16 free-text entries 5 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 945 / CA
Registered: 2021-03-25

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Registered dependents

LEN-86604-51138 Child or adolescent in my care · Female · 2022-06-24

PE3-93468-05623 Child or adolescent in my care · Female · 2022-06-24

Timeline

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

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-25
Registered in v-safe
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Dizziness for a couple hours after receiving the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — day 14, dose 1
MedDRA: Constipation — Feeling: Good

Free text: Mild constapation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Diarrhoea, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Diarrhea, nausea, abdominal pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-20
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Lymphadenopathy — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen lymph node under arm. Brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Paranasal sinus discomfort — Feeling: Fair · Headache · Be unable to work

Free text: Sinus pressure and dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Good · Fatigue or tiredness

Free text: Sinus pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Good · Nausea

Free text: Sinus pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 14, dose 2
MedDRA: Somnolence — Feeling: Good

Free text: Sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 21, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Leg pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Survey response — day 28, dose 2
MedDRA: Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sporadic leg pain the last two weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — day 42, dose 2
MedDRA: Chest pain — Feeling: Good

Free text: Chest pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Feeling hot, Paraesthesia, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sometimes feels like warm pee running down right calf. Same calf that felt like it was swollen after getting the second shot. I had swollen feet feeling but that has gone away for the most part. Also, the pinching in my legs finally gone too.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call successful
Participant prefers to complete VAERS report online
2021-08-04
Call successful
Participant prefers to complete VAERS report online
2021-08-04
Call successful
Participant prefers to complete VAERS report online
2021-08-04
Call successful
Participant prefers to complete VAERS report online
2021-11-16
Dose 3 — Pfizer-BioNTech
2021-11-16
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · 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
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Minor Chest pains coming and going.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches

Adult check-in
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Good

Free text: Pinching in chest.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 7, dose 3
Feeling: Good

Free text: Chest pain.

Adult check-in · check-in free text available
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-18
Survey response — 12 months, dose 3
MedDRA: Norovirus infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Norovirus

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech
3	2021-11-16	Pfizer-BioNTech	No

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Dizziness for a couple hours after receiving the vaccine.

Release 7 — day 14, dose 1

2021-04-07

Symptoms: Mild constapation.

Release 7 — day 21, dose 1

2021-04-14

Symptoms: Diarrhea, nausea, abdominal pain.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Swollen lymph node under arm. Brain fog.

2021-04-23

Systemic reaction (other): Sinus pressure and dizziness.

2021-04-24

Systemic reaction (other): Sinus pressure.

2021-04-26

Systemic reaction (other): Sinus pressure.

Release 8 — day 14, dose 2

2021-05-04

Symptoms: Sleepiness

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Leg pain.

Release 8 — day 28, dose 2

2021-05-20

Symptoms: Sporadic leg pain the last two weeks.

Release 8 — day 42, dose 2

2021-06-01

Symptoms: Chest pains.

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Sometimes feels like warm pee running down right calf. Same calf that felt like it was swollen after getting the second shot. I had swollen feet feeling but that has gone away for the most part. Also, the pinching in my legs finally gone too.

Release 10 — days 1–6 daily, dose 3

2021-11-19

Systemic reaction (other): Minor Chest pains coming and going.

2021-11-22

Systemic reaction (other): Pinching in chest.

Release 12 — day 7, dose 3

2021-11-23

Systemic reaction (other): Chest pain.

Release 12 — 12 months, dose 3

2022-11-18

Symptoms: Norovirus

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	Abdominal pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Feeling hot	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Norovirus infection	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	·	✓
SD	Peripheral swelling	✓	·	✓
SD	Somnolence	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓

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