XWM-26809-54702

3 vaccinations 14 coded responses 30 check-ins 14 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 894 / NV
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Survey response — 0 day, dose 1
MedDRA: Throat irritation — Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Thirst — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — 7 day, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Survey response — 14 day, dose 1
MedDRA: Chills, Feeling cold, Rhinorrhoea, Sneezing, Throat clearing — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-12
Health check-in — 0 day, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — 7 day, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — 14 day, dose 2
MedDRA: Arthralgia, Arthropathy, Fatigue, Insomnia, Myositis, Oropharyngeal discomfort, Throat clearing — Feeling: Poor · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-05
Survey response — 21 day, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-12
Health check-in — 28 day, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Survey response — 35 day, dose 2
MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-26
Survey response — 42 day, dose 2
MedDRA: Oropharyngeal pain, Productive cough — Feeling: Fair · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-14
Survey response — 3 month, dose 2
MedDRA: Erythema, Joint swelling, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-14
Report sent to call center — 3 month, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Survey response — 6 month, dose 2
MedDRA: Constipation, Cough, Dyspepsia, Fatigue, Gastrointestinal disorder, Muscle tightness, Nasal congestion, Throat irritation — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-04
Health check-in — 0 day, dose 3
Feeling: Fair · Site: Swelling · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia, Loss of personal independence in daily activities, Nightmare, Pain — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, 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
2021-10-11
Health check-in — 7 day, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · 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
2021-10-18
Health check-in — 14 day, dose 3
Feeling: Fair

Adult check-in
2021-11-08
Survey response — 35 day, dose 3
MedDRA: Dizziness, Fall, Feeling hot, Head injury — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-15
Health check-in — 42 day, dose 3
Feeling: Poor

Adult check-in
2022-04-04
Survey response — 6 month, dose 3
MedDRA: Cough, Dysphonia, Fatigue, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-05-12
Call 1 — Left Voicemail
2022-10-06
Survey response — 12 month, dose 3
MedDRA: Dehydration, Fall, Head injury, Hot flush, Inflammation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-14	Unsuccessful

Free text

Release 2

Systemic reaction (other): Scratchy throat

Systemic reaction (other): Very thirsty yesterday almost all PM

Release 3

Symptoms: Runny nose, sneezing, feeling cold or a chill, have to clear my throat

Release 4

Systemic reaction (other): Pain in my bones too

Symptoms: Sleeplessness muscle inflammation tiredness clearing throat joint sensitivity

Release 5

Symptoms: I sprained my whole rt ft past the ankle on some yard work that doesnt do that to me in the past pain relievers & topicals didnt help so I am walking & hobbling around HELP

Symptoms: Yesterday I started sweating like I havent in years like I was out in 100 degree heat + high humidity but it only got up to 60

Release 6

Symptoms: Very sore throat and much phlegm I cough up

Release 8

Symptoms: My left foot and ankle were red and swollen from yard work but it didnt heal for more than 6 wks

Release 9

Symptoms: Digestive issues- constipation, heartburn Muscle tightness in my bodyStuffy nose, scratchy throat, cough Tiredness

Release 10

Systemic reaction (other): My whole body ached I got very bad sleep and had some disturbing dreams I wasn't able to do anything I wanted to do

Symptoms: Last nite b4 going to bed as I was finishing up in the bathroom I started thinking to feel very lightheaded then very warm then I tried lying down on the floor because I knew I couldn't make it to the bed and fell my head hit the bathroom wall and I cut off by CDC

Release 11

Symptoms: Sore throat, hoarseness, cough, tired

Release 12

Symptoms: The main thing as I see it is I seem to have a lot of inflammation in my body. First of all I have hot flashes. They come out of nowhere and last for a few minutes at most. I've also had dehydration a few times. I fell once & hit my head on the wall. cut off by CDC

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	Arthralgia	✓	✓	○
SD	Arthropathy	·	·	✓
SD	Chills	✓	✓	✓
SD	Constipation	✓	·	✓
SD	Cough	✓	·	✓
SD	Dehydration	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspepsia	✓	·	✓
SD	Dysphonia	·	·	✓
SD	Erythema	✓	✓	✓
SD	Fall	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Gastrointestinal disorder	✓	·	✓
SD	Head injury	·	·	✓
SD	Hot flush	·	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Muscle tightness	✓	·	✓
SD	Myositis	✓	✓	✓
SD	Nasal congestion	✓	·	✓
SD	Oropharyngeal discomfort	✓	✓	○
SD	Oropharyngeal pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Throat clearing	✓	✓	✓
SD	Throat irritation	✓	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Loss of personal independence in daily activities	·	·	✓
SRO	Nightmare	·	·	✓
SRO	Pain	·	·	✓
SRO	Thirst	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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