YNH-12502-24101

3 vaccinations 12 coded responses 22 check-ins 12 free-text entries 6 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 850 / AZ
Registered: 2021-01-04

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Pfizer-BioNTech
2021-01-04
Health check-in — day 0, dose 1
Feeling: Good · Fever · Muscle or body aches

Adult check-in
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus headache — Feeling: Fair · Site: Pain · Fever · Joint pains

Free text: Sinus level headache ,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Bronchial irritation, Cough — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches

Free text: Bronchial tightness and cough!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
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: Cough, Respiratory tract irritation — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Scratchy lungs and slight cough

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: Nasal congestion — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have a stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Survey response — day 14, dose 2
MedDRA: Arthralgia, Contusion, Emergency care, Platelet count decreased — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Continued severe joint pain , continued bruising since my ER visit which confirmed a dropping platelet count

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Survey response — day 21, dose 2
MedDRA: Arthralgia, Contusion, Platelet count decreased — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Joint pain - dropping blood platelets , severe bruising

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)
2021-02-23
Survey response — day 28, dose 2
MedDRA: Arthralgia, Contusion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Increased bruising and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 28, 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)
2021-04-27
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Gastrointestinal inflammation, Hernia repair — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Small intestine inflammation. Due to immune system response , resulting in hernia surgery ! Joint pain is less

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-18
Call 1 — Left Voicemail
2021-07-27
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Gastrointestinal inflammation, Mobility decreased, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vision issues- requiring a new prescription for glasses. Continued cyclical joint pain and subsequent mobility issues followed by small intestinal inflammatory issues- with increased time between cycles : new issues : VISION

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-27
Dose 3 — Pfizer-BioNTech
2022-01-26
Survey response — 12 months, dose 2
MedDRA: Immunisation reaction, Vaccine positive rechallenge — 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

Free text: Sever reactions from the Covid booster - not as wicked and no hospitalization. As with the first two injections

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Report sent to call center — 12 months, dose 2
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)
2022-01-27
Call successful
Participant prefers to complete VAERS report online
2022-06-27
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Bronchitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bronchitis, joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Poor · 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: Had COVID AGAIN 2 weeks ago

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Report sent to call center — 12 months, dose 3
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)
2022-12-28
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Pfizer-BioNTech
2	2021-01-26	Pfizer-BioNTech
3	2021-12-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-09	Successful	Participant prefers to complete VAERS report online
2021-02-16	Successful	Participant prefers to complete VAERS report online
2021-02-23	Successful	Participant prefers to complete VAERS report online
2021-04-27	Successful	Participant prefers to complete VAERS report online
2022-01-26	Successful 2022-01-27	Participant prefers to complete VAERS report online
2022-12-27	Successful 2022-12-28	Does not wish to fill out VAERS report

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Sinus level headache ,

2021-01-06

Systemic reaction (other): Bronchial tightness and cough!

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Scratchy lungs and slight cough

2021-01-28

Systemic reaction (other): Still have a stuffy nose

Release 3 — day 14, dose 2

2021-02-09

Symptoms: Continued severe joint pain , continued bruising since my ER visit which confirmed a dropping platelet count

Release 4 — day 21, dose 2

2021-02-16

Symptoms: Joint pain - dropping blood platelets , severe bruising

Release 4 — day 28, dose 2

2021-02-23

Symptoms: Increased bruising and joint pain

Release 8 — 3 months, dose 2

2021-04-27

Symptoms: Small intestine inflammation. Due to immune system response , resulting in hernia surgery ! Joint pain is less

Release 9 — 6 months, dose 2

2021-07-27

Symptoms: Vision issues- requiring a new prescription for glasses. Continued cyclical joint pain and subsequent mobility issues followed by small intestinal inflammatory issues- with increased time between cycles : new issues : VISION

Release 11 — 12 months, dose 2

2022-01-26

Symptoms: Sever reactions from the Covid booster - not as wicked and no hospitalization. As with the first two injections

Release 12 — 6 months, dose 3

2022-06-27

Symptoms: Bronchitis, joint pain

Release 12 — 12 months, dose 3

2022-12-27

Symptoms: Had COVID AGAIN 2 weeks ago

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	Arthralgia	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Contusion	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Gastrointestinal inflammation	✓	✓	✓
SD	Hernia repair	✓	✓	✓
SD	Immunisation reaction	·	·	✓
SD	Mobility decreased	✓	·	✓
SD	Platelet count decreased	✓	✓	✓
SD	Vaccine positive rechallenge	·	·	✓
SD	Visual impairment	✓	·	✓
SRO	Bronchial irritation	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Respiratory tract irritation	✓	✓	✓
SRO	Sinus headache	✓	✓	✓

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