Y89-33718-92710

5 vaccinations 17 coded responses 63 check-ins 16 free-text entries 5 call cases

Sex: Male
Age at first dose: 26-30
ZIP prefix: 751 / TX
Registered: 2020-12-22

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Survey response — day 0, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Minor/ mild fatigue

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: Good · Site: Pain · Headache, Muscle or body aches

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

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — day 7, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-01-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-11
Survey response — day 0, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Free text: A little trouble breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Crohn's disease, Diarrhoea, Insomnia, Pre-existing disease — Feeling: Poor · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: About 20 times in one day of liquid diarrhea. Trouble sleeping last night. Extremely Severe straight liquid diarrhea. I have Crohn's disease. It's been years since it's been this bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Really bad cramps in the middle of the night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
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)
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Slightly congested.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
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
Survey response — day 42, dose 2
MedDRA: Cough, Heart rate increased, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to work, 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

Free text: Severe Cough, sore throat, body aches, and elevated pulse (137 beats per minute).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 42, 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)
2021-04-12
Survey response — 3 months, dose 2
MedDRA: Pharyngitis streptococcal, Streptococcal infection — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Severe strep throat infection that took 12 days to subside.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — 3 months, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call 1 — Left Voicemail
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Dose 3 — Pfizer-BioNTech
2021-08-18
Survey response — day 0, dose 3
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school

Free text: Arm is quite sore

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Survey response — days 1–6 daily, dose 3
MedDRA: Diarrhoea haemorrhagic, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bloody diarrhea. Feeling stiff.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-21
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: Itchiness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-08-25
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-09-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-09-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-18
Survey response — 3 months, dose 3
MedDRA: Cough, Head discomfort, Headache, Oropharyngeal pain — 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

Free text: Sore throat, dry cough, and pressured headache.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — 3 months, dose 3
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 · 1 call case(s)
2021-11-19
Call 1 — Left Voicemail
2022-02-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-14
Dose 4 — Moderna
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Pain · Diarrhea

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: Poor quality sleep — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Not sleeping well since I took the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-28
Health check-in — day 14, dose 4
Feeling: Good

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

Adult check-in
2022-05-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-14
Survey response — 3 months, dose 4
MedDRA: COVID-19, Malaise — Feeling: Good · 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

Free text: I caught COVID on 23 June 2022. I was sick for three weeks. I took paxlovid. My symptoms subsided. Then a few days later my symptoms re-emerged. I'm finally feeling better now.

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Report sent to call center — 3 months, dose 4
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 · 1 call case(s)
2022-07-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-11
Dose 5 — Moderna
2022-10-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-17
Survey response — days 1–6 daily, dose 5
MedDRA: Dyspnoea — Feeling: Good · Fatigue or tiredness

Free text: Feel a little winded

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Survey response — day 7, dose 5
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Trouble sleeping last night

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-10
Survey response — 3 months, dose 5
MedDRA: Chest discomfort, Dyspnoea, SARS-CoV-2 test negative — Feeling: Good

MedDRA releases: 2024-11
2023-04-11
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-08-18	Pfizer-BioNTech	No
4	2022-04-14	Moderna	No
5	2022-10-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	priority 2/3
2021-02-22	Successful	Not applicable - Accidental Reporting
2021-04-12	Successful	Not applicable - Accidental Reporting
2021-11-18	Successful	Not applicable - Accidental Reporting
2022-07-14	Successful 2022-07-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — day 0, dose 1

2020-12-22

Systemic reaction (other): Minor/ mild fatigue

Release 1 — day 0, dose 2

2021-01-11

Systemic reaction (other): A little trouble breathing

Release 1 — days 1–6 daily, dose 2

2021-01-12

Systemic reaction (other): About 20 times in one day of liquid diarrhea. Trouble sleeping last night. Extremely Severe straight liquid diarrhea. I have Crohn's disease. It's been years since it's been this bad.

2021-01-13

Systemic reaction (other): Really bad cramps in the middle of the night.

Release 2 — days 1–6 daily, dose 2

2021-01-16

Systemic reaction (other): Slightly congested.

Release 4 — day 42, dose 2

2021-02-22

Symptoms: Severe Cough, sore throat, body aches, and elevated pulse (137 beats per minute).

Release 7 — 3 months, dose 2

2021-04-12

Symptoms: Severe strep throat infection that took 12 days to subside.

Release 9 — day 0, dose 3

2021-08-18

Systemic reaction (other): Arm is quite sore

Release 9 — days 1–6 daily, dose 3

2021-08-19

Systemic reaction (other): Bloody diarrhea. Feeling stiff.

2021-08-21

Systemic reaction (other): Itchiness

Release 10 — 3 months, dose 3

2021-11-18

Symptoms: Sore throat, dry cough, and pressured headache.

Release 11 — days 1–6 daily, dose 4

2022-04-16

Systemic reaction (other): No

2022-04-20

Systemic reaction (other): Not sleeping well since I took the vaccine.

Release 12 — 3 months, dose 4

2022-07-14

Symptoms: I caught COVID on 23 June 2022. I was sick for three weeks. I took paxlovid. My symptoms subsided. Then a few days later my symptoms re-emerged. I'm finally feeling better now.

Release 12 — days 1–6 daily, dose 5

2022-10-17

Systemic reaction (other): Feel a little winded

Release 12 — day 7, dose 5

2022-10-18

Systemic reaction (other): Trouble sleeping last night

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	Chest discomfort	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Head discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pharyngitis streptococcal	✓	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Streptococcal infection	○	✓	○
SRO	Crohn's disease	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Diarrhoea haemorrhagic	✓	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	·	✓
SRO	No adverse event	·	·	✓
SRO	Pain in extremity	✓	·	✓
SRO	Poor quality sleep	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	·	✓
SRO	Respiratory tract congestion	✓	✓	✓

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