YL5-28090-30972

2 vaccinations 13 coded responses 18 check-ins 13 free-text entries 5 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 850 / AZ
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Pfizer-BioNTech
2021-01-05
Survey response — day 0, dose 1
MedDRA: Dysphagia, Pharyngeal swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Swelling in throat, hard to swallow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Itchy, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore, itchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: SARS-CoV-2 test, Scratch, Sinus operation, Throat irritation — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · 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

Free text: Systemic reaction (other): Scratchy, itchy throat. Sinus drainage · Healthcare visit (other): COVID Rapid Test though employer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore, itchy, scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion, Throat irritation — Feeling: Fair · Site: Itching · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Scratchy. Itchy. Sore Throat, sinus drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-12
Survey response — day 7, dose 1
MedDRA: Sinus disorder, Throat irritation — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Sinus. Ictchy scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Pfizer-BioNTech
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Pruritus, Rhinorrhoea, Throat irritation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Itchy scratchy sore throat. Itchy ears. Nasal discharge

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Nasal drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Throat irritation — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Itchy ears, itchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 7, dose 2
MedDRA: Otorrhoea, Throat irritation — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Draining ears, scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-12
Call 1 — Left Voicemail
2021-02-16
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Dyspnoea, Medical counselling, Throat irritation — Feeling: Fair · 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

Free text: Symptoms: Day 7 constant diarrhea. Difficult breathing, itchy throat. Normal temperature · Healthcare visit (other): Consulted with nurse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 21, 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)
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Dyspnoea, Gastrointestinal pain, Medical counselling, Oropharyngeal pain, Paranasal sinus hypersecretion, Pharyngeal swelling, Throat irritation — Feeling: Good · 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: Symptoms: Sore Itchy and Swellen ThroatDifficult breathingConstant Sinus DrainageExtreme GI Cramping, Diarrhea · Healthcare visit (other): Spoke with co-worker. RN

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Pfizer-BioNTech
2	2021-01-26	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-05	Unsuccessful
2021-01-08	Unsuccessful
2021-01-11	Unsuccessful
2021-02-16	Unsuccessful
2021-03-03	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-05

Systemic reaction (other): Swelling in throat, hard to swallow

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Itchy, sore throat

2021-01-07

Systemic reaction (other): Sore, itchy throat

2021-01-08

Systemic reaction (other): Scratchy, itchy throat. Sinus drainage

Healthcare visit (other): COVID Rapid Test though employer

2021-01-09

Systemic reaction (other): Sore, itchy, scratchy throat

2021-01-11

Systemic reaction (other): Scratchy. Itchy. Sore Throat, sinus drainage

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): Sinus. Ictchy scratchy throat

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Itchy scratchy sore throat. Itchy ears. Nasal discharge

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Nasal drainage

2021-01-31

Systemic reaction (other): Itchy ears, itchy throat

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Draining ears, scratchy throat

Release 4 — day 21, dose 2

2021-02-16

Symptoms: Day 7 constant diarrhea. Difficult breathing, itchy throat. Normal temperature

Healthcare visit (other): Consulted with nurse

Release 4 — day 35, dose 2

2021-03-03

Symptoms: Sore Itchy and Swellen ThroatDifficult breathingConstant Sinus DrainageExtreme GI Cramping, Diarrhea

Healthcare visit (other): Spoke with co-worker. RN

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	Medical counselling	✓	✓	✓
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Otorrhoea	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Scratch	✓	✓	✓
SRO	Sinus congestion	○	○	○
SRO	Sinus disorder	✓	✓	✓
SRO	Sinus operation	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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