YAP-32744-03643

3 vaccinations 7 coded responses 37 check-ins 7 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 752 / TX
Registered: 2021-01-31

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-31
Registered in v-safe
2021-01-31
Dose 1 — Pfizer-BioNTech
2021-01-31
Survey response — day 0, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Muscular pain in my neck on the vaccinated side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Tingling in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Throat irritation — Feeling: Good · Fever

Free text: Scratchy throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue, difficulty breathing

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-30
Call 2 — Left Voicemail
2022-03-29
Survey response — 6 months, dose 3
MedDRA: Bronchitis, Malaise, Office visit, Pneumonia — 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 was very sick with bronchitis teetering on pneumonia for about six weeks. I am just now recovering thanks to three different antibiotics and my doctor's care.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 6 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-31
Call 1 — Left Voicemail
2022-09-30
Survey response — 12 months, dose 3
MedDRA: Coma, Endotracheal intubation, Hospitalisation, Intensive care, Pneumonia bacterial, Sepsis — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Bacterial pneumonia that led to sepsis · Healthcare visit (other): I was in the ICU intubated and in a coma for 3 weeks. I was hospitalized another 3 weeks after waking up

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Report sent to call center — 12 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-04
Call 1 — Left Voicemail
2022-10-04
Call 2 — Left Voicemail
2022-10-04
Call 1 — Left Voicemail
2022-10-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-28	Successful 2022-10-04	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-29	Successful 2022-10-04	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-30	Successful 2022-10-04	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 3 — day 0, dose 1

2021-01-31

Systemic reaction (other): Muscular pain in my neck on the vaccinated side

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Confusion

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Tingling in my ears

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Scratchy throat

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: Fatigue, difficulty breathing

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: I was very sick with bronchitis teetering on pneumonia for about six weeks. I am just now recovering thanks to three different antibiotics and my doctor's care.

Release 12 — 12 months, dose 3

2022-09-30

Symptoms: Bacterial pneumonia that led to sepsis

Healthcare visit (other): I was in the ICU intubated and in a coma for 3 weeks. I was hospitalized another 3 weeks after waking up

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
HCVO	Coma	·	·	✓
HCVO	Endotracheal intubation	·	·	✓
HCVO	Hospitalisation	·	·	✓
HCVO	Intensive care	·	·	✓
SD	Bronchitis	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Malaise	·	·	✓
SD	Office visit	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pneumonia bacterial	·	·	✓
SD	Sepsis	·	·	✓
SRO	Confusional state	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Throat irritation	·	·	✓

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