YP2-11945-97518

3 vaccinations 13 coded responses 39 check-ins 13 free-text entries 4 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 193 / PA
Registered: 2021-04-23

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

2021-04-23
Registered in v-safe
2021-04-23
Dose 1 — Pfizer-BioNTech
2021-04-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Some numbness in right arm Moving to index/thumb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Numbness in right hand from shoulder to fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Mostly Joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Pain, Pain in extremity, Self-medication — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: I did have some burning leg pain in my left leg that throbbed overnight took Aleve and felt better this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-12
Dose 2 — Pfizer-BioNTech
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Redness, Swelling and warm to the touch at Injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Pfizer-BioNTech
2021-12-10
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes under arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breathe

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 7, dose 3
MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of Breath

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-07
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-14
Survey response — day 35, dose 3
MedDRA: Exposure to SARS-CoV-2, Pharyngitis streptococcal, SARS-CoV-2 test negative — 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

Free text: Tested negative for Covid but the entire household of 6 tested positive via rapid test all showing symptoms. Not sure how I did not test positive for Covid experiencing different symptoms more accurate of Streph throat. Treatment was antibiotics

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — day 35, 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 · 1 call case(s)
2022-01-18
Call 1 — Left Voicemail
2022-01-22
Survey response — day 42, dose 3
MedDRA: Fatigue, Headache, Laboratory test abnormal, Office visit — Feeling: Poor · 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: Extreme Fatigue Moderate Headache Blood work change immature blood cells increased · Healthcare visit (other): In person visit

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-25
Call 1 — Left Voicemail
2022-03-11
Survey response — 3 months, dose 3
MedDRA: Blood test abnormal, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Some blood work abnormalities of which I was referred to a hemotologist. · Healthcare visit (other): Had a visit with my PCP who ordered blood labs

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-14
Call successful
Participant prefers to complete VAERS report online
2022-06-11
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-12-10
Survey response — 12 months, dose 3
MedDRA: Blood test abnormal, White blood cell count increased — Feeling: Poor · 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: New bllod tests reveal Higher White blood cell count then normal and other abnormalities

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Pfizer-BioNTech
2	2021-05-12	Pfizer-BioNTech
3	2021-12-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-14	Successful	Participant prefers to complete VAERS report online
2022-01-22	Successful	Participant prefers to complete VAERS report online
2022-03-11	Successful 2022-03-14	Participant prefers to complete VAERS report online
2022-12-10	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Some numbness in right arm Moving to index/thumb

2021-04-25

Systemic reaction (other): Numbness in right hand from shoulder to fingers

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Mostly Joint pain

2021-04-29

Systemic reaction (other): I did have some burning leg pain in my left leg that throbbed overnight took Aleve and felt better this morning

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): Redness, Swelling and warm to the touch at Injection site

Release 10 — days 1–6 daily, dose 3

2021-12-12

Systemic reaction (other): Swollen lymph nodes under arm

2021-12-16

Systemic reaction (other): Shortness of breathe

Release 10 — day 7, dose 3

2021-12-17

Systemic reaction (other): Shortness of Breath

Release 10 — day 14, dose 3

2021-12-24

Symptoms: Extreme fatigue

Release 10 — day 35, dose 3

2022-01-14

Symptoms: Tested negative for Covid but the entire household of 6 tested positive via rapid test all showing symptoms. Not sure how I did not test positive for Covid experiencing different symptoms more accurate of Streph throat. Treatment was antibiotics

Release 11 — day 42, dose 3

2022-01-22

Symptoms: Extreme Fatigue Moderate Headache Blood work change immature blood cells increased

Healthcare visit (other): In person visit

Release 11 — 3 months, dose 3

2022-03-11

Symptoms: Some blood work abnormalities of which I was referred to a hemotologist.

Healthcare visit (other): Had a visit with my PCP who ordered blood labs

Release 12 — 12 months, dose 3

2022-12-10

Symptoms: New bllod tests reveal Higher White blood cell count then normal and other abnormalities

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	Blood test abnormal	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Pharyngitis streptococcal	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	White blood cell count increased	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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