YF9-71181-00562

3 vaccinations 6 coded responses 37 check-ins 6 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 223 / VA
Registered: 2021-03-27

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

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Pfizer-BioNTech
2021-04-17
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: A bit dizzy in the a.m.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder — Feeling: Good

Free text: Still a bit off my balance for about a half hour in the a.m. after i wake up, when my entire body wants to lean to the right side, to the point of hard standing up straight. But this symptom is very short in duration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Dose 3 — Pfizer-BioNTech
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-10-19
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Leg cramps

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-12
Survey response — day 28, dose 3
MedDRA: Muscle spasms — Feeling: Good

Free text: Strange new cramping in calves, mostly in mornings, nothing too bad though

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-17
Survey response — 6 months, dose 3
MedDRA: Neurological symptom, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Neurological symptoms since 3.1.22. Regular brain scan was normal. In late April I will be getting a DatScan to rule out or rule in Parkinson's. · Healthcare visit (other): Trip to see my neurologist in her office

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-20
Call successful
Does not wish to fill out VAERS report
2022-10-15
Survey response — 12 months, dose 3
MedDRA: Brain scan abnormal, Cerebral atrophy, Cognitive disorder, Gastrointestinal disorder, Neurological symptom — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Neurological for months including cognitive problems. All that has subsided but replaced with GI problems the last 6 weeks or so but those problems are on the wane now, thank God. A 2nd brain scan showed greater than average atrophy, nothing more.

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Pfizer-BioNTech
2	2021-04-17	Pfizer-BioNTech
3	2021-10-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-17	Successful 2022-04-20	Does not wish to fill out VAERS report
2022-10-15	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): A bit dizzy in the a.m.

2021-04-21

Systemic reaction (other): Still a bit off my balance for about a half hour in the a.m. after i wake up, when my entire body wants to lean to the right side, to the point of hard standing up straight. But this symptom is very short in duration

Release 10 — days 1–6 daily, dose 3

2021-10-19

Systemic reaction (other): Leg cramps

Release 10 — day 28, dose 3

2021-11-12

Symptoms: Strange new cramping in calves, mostly in mornings, nothing too bad though

Release 11 — 6 months, dose 3

2022-04-17

Symptoms: Neurological symptoms since 3.1.22. Regular brain scan was normal. In late April I will be getting a DatScan to rule out or rule in Parkinson's.

Healthcare visit (other): Trip to see my neurologist in her office

Release 12 — 12 months, dose 3

2022-10-15

Symptoms: Neurological for months including cognitive problems. All that has subsided but replaced with GI problems the last 6 weeks or so but those problems are on the wane now, thank God. A 2nd brain scan showed greater than average atrophy, nothing more. cut off by CDC

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	Brain scan abnormal	·	·	✓
SD	Cerebral atrophy	·	·	✓
SD	Cognitive disorder	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Neurological symptom	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Muscle spasms	·	·	✓

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