UMR-16685-49931

4 vaccinations 4 coded responses 41 check-ins 4 free-text entries 11 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 481 / MI
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Health check-in — 0 day, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

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

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-13
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Survey response — 0 day, dose 2
MedDRA: No adverse event — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-09-25
Survey response — 6 month, dose 2
MedDRA: Eczema — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11 · check-in answers available
2021-09-25
Report sent to call center — 6 month, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-10
Dose 3 — Pfizer-BioNTech
2021-12-02
Call 2 — Left Voicemail
2022-03-27
Survey response — 12 month, dose 2
MedDRA: Eczema, Gout — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-03-27
Report sent to call center — 12 month, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail
2022-04-24
Dose 4 — Pfizer-BioNTech
2022-04-24
Health check-in — 0 day, dose 4
Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2022-04-24
Report sent to call center — 0 day, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2022-04-25
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2022-04-26
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2022-04-27
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2022-04-28
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2022-04-29
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-29
Call 1 — Left Voicemail
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2022-04-30
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-01
Health check-in — 7 day, dose 4
Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2022-05-01
Report sent to call center — 7 day, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-02
Call 1 — Left Voicemail
2022-05-08
Health check-in — 14 day, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-06-05
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-07-24
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in
2022-10-23
Survey response — 6 month, dose 4
MedDRA: Extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11 · check-in answers available
2022-10-23
Report sent to call center — 6 month, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-25
Call 1 — Left Voicemail
2022-10-25
Call 2 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail
2022-10-25
Call 2 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail
2022-10-25
Call 2 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail
2022-10-25
Call 2 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail
2023-04-25
Health check-in — 12 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech
3	2021-10-10	Pfizer-BioNTech	No
4	2022-04-24	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-25	Unsuccessful
2022-03-27	Unsuccessful
2022-04-24	Unsuccessful
2022-04-25	Unsuccessful
2022-04-26	Unsuccessful
2022-04-27	Unsuccessful
2022-04-28	Unsuccessful
2022-04-29	Unsuccessful
2022-04-30	Unsuccessful
2022-05-01	Unsuccessful
2022-10-23	Unsuccessful

Free text

Release 6

Systemic reaction (other): 45 mins after shot--nothing so far

Release 9

Symptoms: eczema behind both ears

Release 11

Symptoms: eczema--pretty much while-body and gout

Release 12

Symptoms: ectopic heartbeat

Free-text releases are not linked to a specific 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	Eczema	·	·	✓
SD	Extrasystoles	·	·	✓
SD	Gout	·	·	✓
SRO	No adverse event	✓	✓	✓

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