YNF-28773-19358

5 vaccinations 13 coded responses 33 check-ins 13 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 967 / HI
Registered: 2021-01-12

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

2021-01-11
Dose 1 — Pfizer-BioNTech
2021-01-12
Registered in v-safe
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Oxygen saturation decreased — Feeling: Good

Free text: My VO2 max dropped from 39.5 to 38.1 (via Apple watch) three days after receiving my first dose, and has remained at that level for 4 days. I am 79 2/3, but an active runner @ 30 miles a week including intervals and long run over 10 miles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: No change from previous report.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — day 14, dose 1
MedDRA: Upper-airway cough syndrome — Feeling: Good

Free text: Slight increase in nasal drip.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Dose 2 — Pfizer-BioNTech
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: My VO2max dropped 3% 3 days after my first shot, and another 9% 14 days after that shot. It has remained constant at that lower level for the last 8 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Exercise tolerance decreased — Feeling: Good

Free text: My running pace this morning was a bit on the low side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder — Feeling: Good

Free text: Same slightly reduced stamina as last 2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 7, dose 2
MedDRA: Peripheral coldness, Sensitive skin — Feeling: Good

Free text: Skin slightly sensitive to touch/cold (Mild)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — 3 months, dose 2
MedDRA: Eyelid irritation, Office visit, Tendon pain — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Follicle infection on eyelid Increased hamstring tendon pain from running · Healthcare visit (other): Dr office visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Dose 3 — Pfizer-BioNTech
2021-09-28
Survey response — day 28, dose 3
MedDRA: Lethargy, Pain — Feeling: Fair

Free text: Today, the day after receiving my annual flu vaccine, I am experiencing mild lethargy and mild overall aches. I expect symptoms to be better tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-19
Dose 4 — Pfizer-BioNTech
2022-05-06
Call 1 — Left Voicemail
2022-05-14
Survey response — day 21, dose 4
MedDRA: Dizziness, Nerve compression, Weight decreased, Weight increased — Feeling: Good

Free text: 3.8% (5 lb) weight gain while traveling, since lost. Slight dizziness. Slightly pinched sciatic nerve on left side while traveling. Otherwise normal.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-19
Survey response — 3 months, dose 4
MedDRA: Office visit, Sciatica — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Mild Sciatica for 8 weeks · Healthcare visit (other): Visit PCP

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-20
Call 2 — Left Voicemail
2022-07-20
Call 1 — Left Voicemail
2022-09-20
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-18
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-18
Survey response — 6 months, dose 4
MedDRA: Lethargy, Nasal congestion, Pyrexia, Respiratory tract congestion — Feeling: Fair · 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: Throat congestion, nasal congestion, low-grade fever, lethargy

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Report sent to call center — 6 months, dose 4
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)
2022-10-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-01
Survey response — day 42, dose 5
MedDRA: COVID-19, Respiratory tract congestion, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Caught covid. Recovered from covid, but my covid congestion became a sinus infection, which I have now.

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Report sent to call center — day 42, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-02
Call 1 — Left Voicemail
2022-11-03
Call 2 — Could Not Reach Participant
2022-11-03
Callback requested for
12:00PM ET
2022-11-03
Call successful
Not applicable - Accidental Reporting
2022-12-23
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-21
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Pfizer-BioNTech
2	2021-02-01	Pfizer-BioNTech
3	2021-08-31	Pfizer-BioNTech	No
4	2022-04-19	Pfizer-BioNTech	No
5	2022-09-20	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-03	Successful 2022-10-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-19	Successful 2022-10-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-18	Successful 2022-10-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-01	Successful 2022-11-03	Not applicable - Accidental Reporting

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): My VO2 max dropped from 39.5 to 38.1 (via Apple watch) three days after receiving my first dose, and has remained at that level for 4 days. I am 79 2/3, but an active runner @ 30 miles a week including intervals and long run over 10 miles.

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): No change from previous report.

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Slight increase in nasal drip.

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): My VO2max dropped 3% 3 days after my first shot, and another 9% 14 days after that shot. It has remained constant at that lower level for the last 8 days.

2021-02-04

Systemic reaction (other): My running pace this morning was a bit on the low side.

2021-02-06

Systemic reaction (other): Same slightly reduced stamina as last 2 days.

Release 3 — day 7, dose 2

2021-02-08

Systemic reaction (other): Skin slightly sensitive to touch/cold (Mild)

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Follicle infection on eyelid Increased hamstring tendon pain from running

Healthcare visit (other): Dr office visits

Release 9 — day 28, dose 3

2021-09-28

Symptoms: Today, the day after receiving my annual flu vaccine, I am experiencing mild lethargy and mild overall aches. I expect symptoms to be better tomorrow.

Release 11 — day 21, dose 4

2022-05-14

Symptoms: 3.8% (5 lb) weight gain while traveling, since lost. Slight dizziness. Slightly pinched sciatic nerve on left side while traveling. Otherwise normal.

Release 12 — 3 months, dose 4

2022-07-19

Symptoms: Mild Sciatica for 8 weeks

Healthcare visit (other): Visit PCP

Release 12 — 6 months, dose 4

2022-10-18

Symptoms: Throat congestion, nasal congestion, low-grade fever, lethargy

Release 12 — day 42, dose 5

2022-11-01

Symptoms: Caught covid. Recovered from covid, but my covid congestion became a sinus infection, which I have now.

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	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Eyelid irritation	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nerve compression	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sciatica	·	·	✓
SD	Sinusitis	·	·	✓
SD	Tendon pain	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Weight decreased	·	·	✓
SD	Weight increased	·	·	✓
SRO	Asthenia	✓	·	✓
SRO	Balance disorder	○	✓	○
SRO	Exercise tolerance decreased	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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