YKR-21171-62625

4 vaccinations 10 coded responses 33 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 413 / KY
Registered: 2021-02-22

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

2021-02-21
Dose 1 — Pfizer-BioNTech
2021-02-22
Registered in v-safe
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: 7 hrs 2 min sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Muscle or body aches

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster — Feeling: Good · Site: Pain

Free text: Shingles outbreak on right buttock

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Symptoms over a 12 hour period after big meal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-11
Survey response — 6 months, dose 2
MedDRA: SARS-CoV-2 test negative — Feeling: Good

Free text: Achieving Oura ring daily goal steps 15,000, Sleep and temperature good. No fever. Had a negative rapid covid test once I returned (flight) to (b)(6) Ky. From (b)(6) vacation.

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-02
Survey response — day 7, dose 3
MedDRA: Sneezing — Feeling: Good · Site: Pain

Free text: Sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — day 14, dose 3
Feeling: Good

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

Adult check-in
2021-10-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — 3 months, dose 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose.

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Survey response — 6 months, dose 3
MedDRA: Cough, Discharge, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Runny nose and drainage, coughing, needed to sit upright to stop caugh. Drank lots of water. Lasted 10 day more or less.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — day 14, dose 4
Feeling: Good

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

Adult check-in
2022-05-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-26
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-27
Survey response — 12 months, dose 4
MedDRA: Cough, Malaise, Self-medication, Sleep disorder — 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

MedDRA releases: 2024-11
2023-04-27
Report sent to call center — 12 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 · 1 call case(s)
2023-04-28
Call 1 — Could Not Reach Participant
2023-05-03
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech
3	2021-09-19	Pfizer-BioNTech	Flu
4	2022-04-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2023-04-27	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-22

Systemic reaction (other): No

2021-02-26

Systemic reaction (other): 7 hrs 2 min sleep.

2021-02-27

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Shingles outbreak on right buttock

2021-03-17

Systemic reaction (other): Symptoms over a 12 hour period after big meal.

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Achieving Oura ring daily goal steps 15,000, Sleep and temperature good. No fever. Had a negative rapid covid test once I returned (flight) to (b)(6) Ky. From (b)(6) vacation.

redacted (b)(6)

Release 9 — day 7, dose 3

2021-10-02

Systemic reaction (other): Sneezing

Release 10 — 3 months, dose 3

2021-12-19

Symptoms: Runny nose.

Release 11 — 6 months, dose 3

2022-03-20

Symptoms: Runny nose and drainage, coughing, needed to sit upright to stop caugh. Drank lots of water. Lasted 10 day more or less.

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	Cough	·	·	✓
SD	Discharge	·	·	✓
SD	Malaise	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SD	Sleep disorder	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Sneezing	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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