YC8-13598-46287

3 vaccinations 10 coded responses 37 check-ins 9 free-text entries 4 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 333 / FL
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-17
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia, Pre-existing disease — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Had open bypass 10 weeks ago, upper chest area is experiencing muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Dizziness, Fatigue, Heart rate increased — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated blood pressure and heart rate 2nd day, extremely fatigue and dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Hypertension — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: Hi blood pressure and fast heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-15
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to work

Free text: Fatigued and weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Asthenia, Cough, Dyspnoea, Fatigue, Pre-existing disease, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Mild coughing, mild fevers, a bit of a trouble breathing, and my regular heart izsues. Also, overly tired and no energy.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Dose 3 — Pfizer-BioNTech
2022-01-28
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-01-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-01-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-02-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-02-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-04
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-18
Survey response — day 21, dose 3
MedDRA: Asthma, Atrial fibrillation, Pneumonia, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · 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: Aggravated existing asthma, continue to have pneumonia, heart is having AFIBS, and regularly congested.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — day 21, dose 3
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 · 1 call case(s)
2022-02-25
Survey response — day 28, dose 3
MedDRA: Back pain, COVID-19, Chest pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Unprecedented back pain while I had covid back in Dec is back. Chest pain, but cardiologist has found nothing. · Healthcare visit (other): Met with cardiologist and primary doctor

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-25
Call 1 — Left Voicemail
2022-02-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-11
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-29
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-29
Survey response — 6 months, dose 3
MedDRA: Syncope — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Fainting spells

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-08-01
Call 3 — Left Voicemail
2023-01-30
Survey response — 12 months, dose 3
MedDRA: Dyspnoea, Myalgia — Feeling: Fair · 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

MedDRA releases: 2024-11
2023-01-30
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-31
Call 1 — Could Not Reach Participant
2023-01-31
Call 1 — Could Not Reach Participant
2023-02-03
Call 2 — Could Not Reach Participant
2023-02-03
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2022-01-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-18	Successful 2022-02-25	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-25	Successful 2022-02-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-29	Unsuccessful
2023-01-30	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Had open bypass 10 weeks ago, upper chest area is experiencing muscle pain

2021-03-21

Systemic reaction (other): Elevated blood pressure and heart rate 2nd day, extremely fatigue and dizzy

2021-03-22

Systemic reaction (other): Hi blood pressure and fast heart rate

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): Dizziness

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Fatigued and weak

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Mild coughing, mild fevers, a bit of a trouble breathing, and my regular heart izsues. Also, overly tired and no energy.

Release 11 — day 21, dose 3

2022-02-18

Symptoms: Aggravated existing asthma, continue to have pneumonia, heart is having AFIBS, and regularly congested.

Release 11 — day 28, dose 3

2022-02-25

Symptoms: Unprecedented back pain while I had covid back in Dec is back. Chest pain, but cardiologist has found nothing.

Healthcare visit (other): Met with cardiologist and primary doctor

Release 12 — 6 months, dose 3

2022-07-29

Symptoms: Fainting spells

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	Office visit	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Asthma	·	·	✓
SD	Atrial fibrillation	·	·	✓
SD	Back pain	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Office visit	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Syncope	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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