YLE-15812-43804

5 vaccinations 9 coded responses 46 check-ins 9 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 222 / VA
Registered: 2021-02-25

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-25
Registered in v-safe
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Still have a feeling of being light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Have others reported a delayed paim reaction?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort, Neuromuscular pain, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: As reported yesterday I have neuro-muscular discomfort in my left arm from the injection area to my hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 1
MedDRA: Limb discomfort — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Still have discomfort in my left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-05
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Survey response — day 14, dose 4
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair

Free text: I have a cold with coughing, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — day 21, dose 4
MedDRA: Asthenia, Cough, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, 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: Symptoms from a bad cold including a delibilitating cough.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Report sent to call center — day 21, dose 4
Be unable to work or attend school · 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)
2022-04-28
Call 1 — Left Voicemail
2022-05-03
Survey response — day 28, dose 4
MedDRA: Cough, Office visit, SARS-CoV-2 test negative — 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

Free text: Severe and aggravated cough. I have taken an at home COVID test and a Rapid Antigen Test at an Urgent Care and both tests were Negative for COVID.

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Report sent to call center — day 28, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-09
Dose 5 — Pfizer-BioNTech
2022-09-23
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-30
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-09
Survey response — 3 months, dose 5
MedDRA: COVID-19, Patient isolation, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, 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: PCR test confirmed COVID-19 last Monday. Have isolated for 7 days.

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · 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)
2022-12-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-10
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No
4	2022-04-05	Pfizer-BioNTech	No
5	2022-09-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-26	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-03	Successful 2022-05-04	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-09	Successful 2022-12-12	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Still have a feeling of being light headed

2021-02-26

Systemic reaction (other): Light headed

2021-03-01

Systemic reaction (other): Have others reported a delayed paim reaction?

2021-03-02

Systemic reaction (other): As reported yesterday I have neuro-muscular discomfort in my left arm from the injection area to my hand.

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): Still have discomfort in my left arm

Release 11 — day 14, dose 4

2022-04-19

Symptoms: I have a cold with coughing, sore throat.

Release 11 — day 21, dose 4

2022-04-26

Symptoms: Symptoms from a bad cold including a delibilitating cough.

Release 11 — day 28, dose 4

2022-05-03

Symptoms: Severe and aggravated cough. I have taken an at home COVID test and a Rapid Antigen Test at an Urgent Care and both tests were Negative for COVID.

Release 12 — 3 months, dose 5

2022-12-09

Symptoms: PCR test confirmed COVID-19 last Monday. Have isolated for 7 days.

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	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Patient isolation	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Neuromuscular pain	○	✓	○
SRO	Pre-existing disease	○	✓	○
SRO	Unevaluable event	✓	✓	✓

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