YVD-14415-75322

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 5 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 208 / MD
Registered: 2021-02-02

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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-02
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: Bloody nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Acupuncture, Epistaxis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Recurrence of nose bleed · Healthcare visit (other): Acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-09
Survey response — day 7, dose 1
MedDRA: Periorbital swelling, Unevaluable event — Feeling: Poor · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Puffiness under eye · Healthcare visit (other): Personal trainer assistance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Pain in hands

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: Pain in extremity — Feeling: Good · Muscle or body aches

Free text: Hand pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Abdominal pain

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain left side and shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Back pain — Feeling: Good

Free text: Abdominal pain and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 35, dose 2
MedDRA: Back pain, Emergency care — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Called 911, taken to ER for severe back pain- after exam, blood and urine analysis the Dr. felt it was musculoskeletal in nature- to see GP Thursday · Healthcare visit (other): Emergency Room trip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Back pain, Hypoaesthesia, Office visit, Pain in extremity, Telemedicine — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Severe back pain, left foot pain and numbness, abdominal pain · Healthcare visit (other): Additionally telecon and in-person visits with physicians

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-14
Call 1 — Left Voicemail
2021-06-15
Call successful
Participant prefers to complete VAERS report online
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Myocardial infarction — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Heart attack

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Report sent to call center — 6 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)
2021-08-26
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-02-05	Successful	Participant prefers to complete VAERS report online
2021-02-09	Successful	Participant prefers to complete VAERS report online
2021-03-30	Successful	Participant prefers to complete VAERS report online
2021-04-06	Successful 2021-06-15	Participant prefers to complete VAERS report online
2021-08-24	Successful 2021-08-26	Participant prefers to complete VAERS report online

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Bloody nose

2021-02-05

Systemic reaction (other): Recurrence of nose bleed

Healthcare visit (other): Acupuncture

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): Puffiness under eye

Healthcare visit (other): Personal trainer assistance

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Pain in hands

2021-02-26

Systemic reaction (other): Hand pain

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Pain left side and shoulder

Release 6 — day 28, dose 2

2021-03-23

Symptoms: Abdominal pain and back pain

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Called 911, taken to ER for severe back pain- after exam, blood and urine analysis the Dr. felt it was musculoskeletal in nature- to see GP Thursday

Healthcare visit (other): Emergency Room trip

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Severe back pain, left foot pain and numbness, abdominal pain

Healthcare visit (other): Additionally telecon and in-person visits with physicians

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Heart attack

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	Acupuncture	✓	✓	✓
HCVO	Emergency care	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Myocardial infarction	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓

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