XYP-12876-01597

2 vaccinations 15 coded responses 16 check-ins 15 free-text entries 2 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 895 / NV
Registered: 2021-09-10

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

2021-08-08
Dose 1 — Pfizer-BioNTech
2021-09-10
Registered in v-safe
2021-09-10
Dose 2 — Pfizer-BioNTech
2021-09-10
Survey response — 0 day, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain

MedDRA releases: 2024-11 · check-in answers available
2021-09-11
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · 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

MedDRA releases: 2024-11 · check-in answers available
2021-09-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Tinnitus — Feeling: Fair · Site: Pain · 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

MedDRA releases: 2024-11 · check-in answers available
2021-09-13
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-09-14
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-09-15
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Joint pains, Muscle or body aches

MedDRA releases: 2024-11 · check-in answers available
2021-09-16
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-09-17
Survey response — 7 day, dose 2
MedDRA: Tinnitus — Feeling: Good · Headache, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-09-24
Health check-in — 14 day, dose 2
Feeling: Fair

Adult check-in
2021-10-01
Survey response — 21 day, dose 2
MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-08
Survey response — 28 day, dose 2
MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-15
Survey response — 35 day, dose 2
MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-22
Survey response — 42 day, dose 2
MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-12-10
Survey response — 3 month, dose 2
MedDRA: Head discomfort, Headache, Mood altered, Poor quality sleep, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11 · check-in answers available
2021-12-10
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2021-12-15
Call 2 — Requested Callback
2021-12-16
Callback requested for
12:30PM ET
2021-12-20
Call successful
Participant prefers to complete VAERS report online
2022-03-13
Survey response — 6 month, dose 2
MedDRA: Asthenia, Muscular weakness, Nausea — 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
2022-09-10
Survey response — 12 month, dose 2
MedDRA: Cerebrovascular accident — Feeling: Poor · Be unable to work or attend school, 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, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11 · check-in answers available
2022-09-10
Report sent to call center — 12 month, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-09-12
Call 1 — Left Voicemail
2022-10-11
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-08	Pfizer-BioNTech	No
2	2021-09-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-10	Successful 2021-12-20	Participant prefers to complete VAERS report online
2022-09-10	Successful 2022-10-11	Participant prefers to complete VAERS report online

Free text

Release 9

Systemic reaction (other): Tired

Systemic reaction (other): Very loud, constant ringing of the ears

Systemic reaction (other): The ringing in my ears is much louder, the pain in my shoulder joints is significant

Systemic reaction (other): Ringing of my ears

Systemic reaction (other): Ringing of the ears

Systemic reaction (other): Ringing of my ears

Symptoms: Ringing of my ears has gotten louder

Release 10

Symptoms: Ringing of my ears is louder

Symptoms: Ringing in both ears has gotten more persistent and louder

Symptoms: The ringing in my ears is louder

Symptoms: Pressure in my head at the top of my spine, ringing of the ears is louder. constant headaches, not sleeping well. change in mood.

Release 11

Symptoms: Weakness in my hip joints and legs, nausea after eating

Release 12

Symptoms: I had a Stroke

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	Asthenia	·	·	✓
SD	Cerebrovascular accident	·	·	✓
SD	Head discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Mood altered	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nausea	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Tinnitus	·	·	✓

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