Y5Q-32933-55259

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 9 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 765 / TX
Registered: 2020-12-21

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Health check-in — day 0, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fever · Chills

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache

Adult check-in
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · Fever · Chills, Headache

Adult check-in
2021-01-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-11
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-11
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fever · Chills, Headache · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Diarrhoea, Mobility decreased, Sleep disorder — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Last night, the chills were so intense that I was shivering and also the diarrhea and the chills kept me awake most of the nights. Today, I've been in bed ALLday long because of the same reasons. Can I get some help?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — day 7, dose 2
MedDRA: Dizziness, Somnolence — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: I would like to report that in addition to the above symptoms I also feel dizzy, light headed and very sleepy. Thank you

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-25
Survey response — day 14, dose 2
MedDRA: Chills, Emergency care, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Headaches, chills, I had to be treated at the emergency Room at (b)(6) medical Hospital on January 24,2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-02
Call 1 — Left Voicemail
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-13
Survey response — 12 months, dose 2
MedDRA: Chills, Pain — Feeling: Fair

Free text: Body aches, chills

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-11	priority 2/3
2021-01-12	priority 2/3
2021-01-13	priority 2/3
2021-01-14	priority 2/3
2021-01-15	priority 2/3
2021-01-16	priority 2/3
2021-01-17	priority 2/3
2021-01-18	priority 2/3
2021-01-25	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-22

Systemic reaction (other): None

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): Last night, the chills were so intense that I was shivering and also the diarrhea and the chills kept me awake most of the nights. Today, I've been in bed ALLday long because of the same reasons. Can I get some help?

Release 2 — day 7, dose 2

2021-01-18

Systemic reaction (other): I would like to report that in addition to the above symptoms I also feel dizzy, light headed and very sleepy. Thank you

Release 2 — day 14, dose 2

2021-01-25

Symptoms: Headaches, chills, I had to be treated at the emergency Room at (b)(6) medical Hospital on January 24,2021.

redacted (b)(6)

Release 10 — 12 months, dose 2

2022-01-13

Symptoms: Body aches, chills

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	Chills	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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