YSG-16605-83085

2 vaccinations 11 coded responses 15 check-ins 11 free-text entries 1 call case

Sex: Male
Age at first dose: 46-50
ZIP prefix: 440 / OH
Registered: 2021-04-01

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

2021-03-27
Dose 1 — Pfizer-BioNTech
2021-04-01
Registered in v-safe
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cold sores formed around my lower lip.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 7, dose 1
MedDRA: Sleep disorder — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Unable to sleep longer than 4 hours (2-3 days in a row)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 14, dose 1
MedDRA: Arthralgia, Cough, Dyspnoea, Exposure to SARS-CoV-2, Migraine, Myalgia, Nausea, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: My family tested positive for covid and I had the same symptoms that started 10 days ago. Fever, joint pain, muscle aches, nausea, migraine, cough, sore throat, shortness of breath, etc..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 21, dose 1
MedDRA: Cough — 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: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-24
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Fair

Free text: Extreme sweats last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Nagging cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Lingering cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good

Free text: Lingering cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Good

Free text: Light cough

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

Adult check-in
2021-05-15
Survey response — day 21, dose 2
MedDRA: Injection site pain — Feeling: Fair

Free text: My arm where I received the vaccine is still sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-04-01
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-17	Successful 2022-04-01	Participant prefers to complete VAERS report online

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Cold sores formed around my lower lip.

Release 6 — day 7, dose 1

2021-04-03

Systemic reaction (other): Unable to sleep longer than 4 hours (2-3 days in a row)

Release 7 — day 14, dose 1

2021-04-10

Symptoms: My family tested positive for covid and I had the same symptoms that started 10 days ago. Fever, joint pain, muscle aches, nausea, migraine, cough, sore throat, shortness of breath, etc..

Release 7 — day 21, dose 1

2021-04-17

Symptoms: Cough

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Extreme sweats last night

2021-04-27

Systemic reaction (other): Cough

2021-04-28

Systemic reaction (other): Nagging cough

2021-04-29

Systemic reaction (other): Lingering cough.

2021-04-30

Systemic reaction (other): Lingering cough

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): Light cough

Release 8 — day 21, dose 2

2021-05-15

Symptoms: My arm where I received the vaccine is still sore.

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	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Exposure to SARS-CoV-2	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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