YR3-23104-97699

4 vaccinations 9 coded responses 48 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 31-35
ZIP prefix: 124 / NY
Registered: 2021-02-17

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Pfizer-BioNTech
2021-02-17
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: I have a mild sore throat that just started yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Dose 2 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · Nausea

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 28, dose 2
MedDRA: Vomiting — Feeling: Good

Free text: Vomitting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, Chills, Cough, Nasal congestion, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Aches, fever, chills loss of smell and taste, stuffy nose and coughing.

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Dose 3 — Moderna
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-26
Health check-in — day 7, dose 3
Feeling: Good · Nausea

Adult check-in
2022-01-02
Survey response — day 14, dose 3
MedDRA: Epicondylitis, Sleep disorder — Feeling: Good

Free text: Tennis elbow in injection arm, likely unrelated and from sleeping on it but reporting the symptom just in case.

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-23
Survey response — day 35, dose 3
MedDRA: Cough, Dyspnoea, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Slight cough, slight scratchy throat, slight shortness of breath.

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Survey response — day 42, dose 3
MedDRA: Angina pectoris — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Slight angina after working out, goes away within 10-20 min

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-03
Call 1 — Left Voicemail
2022-06-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-02
Dose 4 — Moderna
Co-administered: Flu
2022-11-03
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-06
Survey response — days 1–6 daily, dose 4
MedDRA: Hyperhidrosis, Temperature regulation disorder — Feeling: Good · Chills, Fatigue or tiredness

Free text: Temperature regulation feels off still, light activity makes me swet profusely, not standard.

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-09
Health check-in — day 7, dose 4
Feeling: Good · Nausea

Adult check-in
2022-11-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-14
Survey response — day 42, dose 4
MedDRA: Chills, Conjunctivitis, Night sweats, Temperature regulation disorder, Throat irritation — Feeling: Fair

Free text: Scratchy throat, pink eye, trouble regulating tenperature (night sweats and chills)

MedDRA releases: 2024-11 · check-in free text available
2023-02-01
Survey response — 3 months, dose 4
MedDRA: Sinusitis — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11
2023-05-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Pfizer-BioNTech
2	2021-03-10	Pfizer-BioNTech
3	2021-12-19	Moderna	No
4	2022-11-02	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-02-01	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-03

Symptoms: I have a mild sore throat that just started yesterday.

Release 7 — day 28, dose 2

2021-04-07

Symptoms: Vomitting

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Aches, fever, chills loss of smell and taste, stuffy nose and coughing.

Release 10 — day 14, dose 3

2022-01-02

Symptoms: Tennis elbow in injection arm, likely unrelated and from sleeping on it but reporting the symptom just in case.

Release 11 — day 35, dose 3

2022-01-23

Symptoms: Slight cough, slight scratchy throat, slight shortness of breath.

Release 11 — day 42, dose 3

2022-02-01

Symptoms: Slight angina after working out, goes away within 10-20 min

Release 12 — days 1–6 daily, dose 4

2022-11-06

Systemic reaction (other): Temperature regulation feels off still, light activity makes me swet profusely, not standard.

Release 12 — day 42, dose 4

2022-12-14

Symptoms: Scratchy throat, pink eye, trouble regulating tenperature (night sweats and chills)

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	Ageusia	·	·	✓
SD	Angina pectoris	·	·	✓
SD	Anosmia	·	·	✓
SD	Chills	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Epicondylitis	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Night sweats	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Temperature regulation disorder	·	·	✓
SD	Throat irritation	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Temperature regulation disorder	·	·	✓

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