YVG-12185-14042

4 vaccinations 12 coded responses 35 check-ins 12 free-text entries 5 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 265 / WV
Registered: 2021-01-21

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

WFU-33168-79890 Adult relative or friend · Female · 2021-10-09

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Pfizer-BioNTech
2021-01-21
Survey response — day 0, dose 1
MedDRA: Headache — Feeling: Fair · Headache

Free text: Very mild headache at q 6hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good

Free text: Heavy Cough upon awaken

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Influenza like illness — Feeling: Fair · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Almost feels like flu...will venture out tomorrow after 4 days at home

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 7, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Diarrhea

Free text: Cough and Congestion but easing up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Pfizer-BioNTech
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-21
Survey response — day 14, dose 3
MedDRA: Diarrhoea, Productive cough — Feeling: Good

Free text: Diarrhea (two days in a row) and heavy wet coughing all night the second diarrhea event night

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-04
Survey response — day 28, dose 3
MedDRA: Abdominal pain upper, Diarrhoea, Diverticulitis, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Diverticulitis: it took me 4 days to realize I had this fair up after a 5 out 6 day bout of diarrhea. Finally figured out I was stupid and indulged in 4 pieces of Baclava between stopping diarrhea and the stomach pains kicking in Friday, day 1 of 4 · Healthcare visit (other): Augmentin RX

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-08
Call 1 — Could Not Reach Participant
2021-11-11
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-11
Call 2 — Could Not Reach Participant
2021-11-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-06
Survey response — 3 months, dose 3
MedDRA: Musculoskeletal stiffness, Nasopharyngitis, Neck pain, Tooth abscess — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dental Abscess and sore stiff neck same side as dental right rear abscess and Bad Cold. No fever or other Omicrom symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-07
Call 1 — Could Not Reach Participant
2022-01-12
Call 2 — Could Not Reach Participant
2022-04-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-02
Dose 4 — Pfizer-BioNTech
2022-06-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-23
Survey response — day 21, dose 4
MedDRA: Pneumonia, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus and lung infection

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-30
Survey response — day 28, dose 4
MedDRA: Lower respiratory tract infection, Pneumonia, SARS-CoV-2 test negative, Sinusitis — 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 · Outpatient clinic or urgent care clinic visit

Free text: Sinnus infection apparently 6 months old, spread to lungs and chest. Ten days 400 mg cefdinir no good given ceflafloxin another 7 days no good. Covid Test Negative. Chest radiology clear. Also Guiphenisin XR, DM c Requested Rhinocort Nasal mist

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-07
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-09-02
Survey response — 3 months, dose 4
MedDRA: Exposure to fungus — 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, Emergency room or emergency department visit

Free text: Mold discovered by 3rd pty inspector of improper flood 2020 5,000 gallons h2o 1st flr kitchen down 2 bsmt family room not found 4 appx 30 days as I had 3 bypass 40 days b4 I got strength to walk to bsmt family room.

MedDRA releases: 2024-11 · check-in free text available
2022-09-02
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-09-07
Call successful
Not applicable - Accidental Reporting
2022-12-01
Survey response — 6 months, dose 4
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Possible GI Flu

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-11	Pfizer-BioNTech
3	2021-10-07	Pfizer-BioNTech	Flu
4	2022-06-02	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-04	Successful 2022-06-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-06	Successful 2022-06-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-23	Successful 2022-06-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-30	Successful 2022-07-01	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-02	Successful 2022-09-07	Not applicable - Accidental Reporting

Free text

Release 2 — day 0, dose 1

2021-01-21

Systemic reaction (other): Very mild headache at q 6hrs

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): None

2021-01-24

Systemic reaction (other): Heavy Cough upon awaken

2021-01-27

Systemic reaction (other): Almost feels like flu...will venture out tomorrow after 4 days at home

Release 2 — day 7, dose 1

2021-01-28

Systemic reaction (other): Cough and Congestion but easing up

Release 10 — day 14, dose 3

2021-10-21

Symptoms: Diarrhea (two days in a row) and heavy wet coughing all night the second diarrhea event night

Release 10 — day 28, dose 3

2021-11-04

Symptoms: Diverticulitis: it took me 4 days to realize I had this fair up after a 5 out 6 day bout of diarrhea. Finally figured out I was stupid and indulged in 4 pieces of Baclava between stopping diarrhea and the stomach pains kicking in Friday, day 1 of 4 cut off by CDC

Healthcare visit (other): Augmentin RX

Release 10 — 3 months, dose 3

2022-01-06

Symptoms: Dental Abscess and sore stiff neck same side as dental right rear abscess and Bad Cold. No fever or other Omicrom symptoms.

Release 12 — day 21, dose 4

2022-06-23

Symptoms: Sinus and lung infection

Release 12 — day 28, dose 4

2022-06-30

Symptoms: Sinnus infection apparently 6 months old, spread to lungs and chest. Ten days 400 mg cefdinir no good given ceflafloxin another 7 days no good. Covid Test Negative. Chest radiology clear. Also Guiphenisin XR, DM c Requested Rhinocort Nasal mist cut off by CDC

Release 12 — 3 months, dose 4

2022-09-02

Symptoms: Mold discovered by 3rd pty inspector of improper flood 2020 5,000 gallons h2o 1st flr kitchen down 2 bsmt family room not found 4 appx 30 days as I had 3 bypass 40 days b4 I got strength to walk to bsmt family room.

Release 12 — 6 months, dose 4

2022-12-01

Symptoms: Possible GI Flu

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	Unevaluable event	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Diverticulitis	·	·	✓
SD	Exposure to fungus	·	·	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Tooth abscess	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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