YTT-20776-29039

3 vaccinations 11 coded responses 25 check-ins 11 free-text entries 5 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-01-30

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

2021-01-29
Dose 1 — Pfizer-BioNTech
2021-01-30
Registered in v-safe
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Local soreness at site when pressed or arm rotated upward at shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-02-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-21
Dose 2 — Pfizer-BioNTech
2021-02-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itchy skin above collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itchy skin above collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Itchy skin above collar bone, and an itchy patch on left arm and left side of belly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Itchy skin above collar bone around base of neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Itchy skin around base of neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 7, dose 2
MedDRA: Pruritus — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Itchy skin around base of neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 14, dose 2
MedDRA: Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Itching skin around neck, left arm, belly and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-21
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: Itchyness continues on belly, back, neck and arms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-28
Survey response — day 35, dose 2
MedDRA: Pruritus, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Itching and Rash appearing on chest, arms and belly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Call 1 — Left Voicemail
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Rash, Rash macular, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sronge itching and blotchy rash on both forearms.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-30
Call successful
Participant prefers to complete VAERS report online
2021-08-31
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-21	Pfizer-BioNTech
3	2021-08-31	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-02	Successful	Participant prefers to complete VAERS report online
2021-03-07	Successful	Participant prefers to complete VAERS report online
2021-03-21	Successful	Participant prefers to complete VAERS report online
2021-03-28	Successful	Participant prefers to complete VAERS report online
2021-08-24	Successful 2021-08-30	Participant prefers to complete VAERS report online

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Local soreness at site when pressed or arm rotated upward at shoulder.

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Itchy skin above collar bone

2021-02-24

Systemic reaction (other): Itchy skin above collar bone

2021-02-25

Systemic reaction (other): Itchy skin above collar bone, and an itchy patch on left arm and left side of belly.

2021-02-26

Systemic reaction (other): Itchy skin above collar bone around base of neck

2021-02-27

Systemic reaction (other): Itchy skin around base of neck

Release 4 — day 7, dose 2

2021-02-28

Systemic reaction (other): Itchy skin around base of neck

Release 5 — day 14, dose 2

2021-03-07

Symptoms: Itching skin around neck, left arm, belly and back.

Release 6 — day 28, dose 2

2021-03-21

Symptoms: Itchyness continues on belly, back, neck and arms.

Release 6 — day 35, dose 2

2021-03-28

Symptoms: Itching and Rash appearing on chest, arms and belly.

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Sronge itching and blotchy rash on both forearms.

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	Rash	✓	✓	✓
SD	Rash macular	✓	·	✓
SD	Rash pruritic	✓	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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