YPU-14132-02896

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

Sex: Male
Age at first dose: 56-60
ZIP prefix: 921 / CA
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: I did not pay attention to it before, but I have been itching every single night around my upper chest, clavicle, etc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: A rash around my neck and clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Itching around neck, upper chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Chills, Muscle or body aches

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Body itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Rash — Feeling: Good

Free text: Itching around my body along with some small rashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Minor body itches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 7, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Body itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 14, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Very itchy all over. Seeing a doctor later this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 21, dose 2
MedDRA: Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued itching all over my body, enough for me to visit my primary physician/internist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Survey response — day 28, dose 2
MedDRA: Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Still itchy around my body away from the vaccination point.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: SARS-CoV-2 test positive — 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: I tested positive for Covid this morning, after being vaccinated with Pfizer.

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 3 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

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-07-26
Call successful
Participant prefers to complete VAERS report online
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-21
Dose 3 — Moderna
Co-administered: Flu
2022-04-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-01
Dose 4 — Pfizer-BioNTech
2022-10-01
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-10-02
Survey response — days 1–6 daily, dose 4
MedDRA: Myalgia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe muscle pain in my shoulders, neck, and back

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-08
Survey response — day 7, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech
3	2021-12-21	Moderna	Flu
4	2022-10-01	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-13	Successful	Participant prefers to complete VAERS report online
2021-05-20	Successful	Participant prefers to complete VAERS report online
2021-07-21	Successful 2021-07-26	Participant prefers to complete VAERS report online

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): I did not pay attention to it before, but I have been itching every single night around my upper chest, clavicle, etc.

2021-04-04

Systemic reaction (other): A rash around my neck and clavicle

2021-04-05

Systemic reaction (other): Itching around neck, upper chest

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Body itching

2021-04-25

Systemic reaction (other): Itching around my body along with some small rashes

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Minor body itches

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): Body itching

Release 8 — day 14, dose 2

2021-05-04

Symptoms: Very itchy all over. Seeing a doctor later this week.

Release 8 — day 21, dose 2

2021-05-13

Symptoms: Continued itching all over my body, enough for me to visit my primary physician/internist

Release 8 — day 28, dose 2

2021-05-20

Symptoms: Still itchy around my body away from the vaccination point.

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: I tested positive for Covid this morning, after being vaccinated with Pfizer.

Release 12 — days 1–6 daily, dose 4

2022-10-02

Systemic reaction (other): Severe muscle pain in my shoulders, neck, and back

Release 12 — day 7, dose 4

2022-10-08

Systemic reaction (other): Sore throat

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	Pruritus	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓

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