YW3-33190-81502

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 31-35
ZIP prefix: 752 / TX
Registered: 2021-03-01

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

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-01
Survey response — day 0, dose 1
MedDRA: Injection site warmth, Malaise, Pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Injection site feels warmer than normal. Generally body feels a little sore and blah.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Lethargy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Generally still feeling a bit blah or lethargic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation — Feeling: Fair · Vomiting, Abdominal pain · Be unable to work

Free text: Extremely constipated. Not sure if these issues of today are related...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-24
Dose 2 — Pfizer-BioNTech
2021-03-31
Survey response — day 7, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: I did have severe injection site pain the day after the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Injection site pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Approximately 12hrs into the shot, my injection shot was extremely tender. Couple days later, arm pit area is sore and injection sight very tender.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Armpit is still sore on injection site side. Day 4.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-06
Survey response — day 7, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache

Free text: Armpit is still sore.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Survey response — day 21, dose 3
MedDRA: Dehydration, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal, SARS-CoV-2 test — Feeling: Fair · 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

Free text: Symptoms: I have been exposed to covid on 10/17/2021. I feel dehydrated, nose feels weird and I feel fatigued. · Healthcare visit (other): Was Covid tested today no results yet.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — day 21, dose 3
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 · 1 call case(s)
2021-10-22
Call 1 — Left Voicemail
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-24	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-20	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-03-01

Systemic reaction (other): Injection site feels warmer than normal. Generally body feels a little sore and blah.

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Generally still feeling a bit blah or lethargic.

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Extremely constipated. Not sure if these issues of today are related...

Release 6 — day 7, dose 2

2021-03-31

Systemic reaction (other): I did have severe injection site pain the day after the shot

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Approximately 12hrs into the shot, my injection shot was extremely tender. Couple days later, arm pit area is sore and injection sight very tender.

2021-10-03

Systemic reaction (other): Armpit is still sore on injection site side. Day 4.

Release 10 — day 7, dose 3

2021-10-06

Systemic reaction (other): Armpit is still sore.

Release 10 — day 21, dose 3

2021-10-20

Symptoms: I have been exposed to covid on 10/17/2021. I feel dehydrated, nose feels weird and I feel fatigued.

Healthcare visit (other): Was Covid tested today no results yet.

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	SARS-CoV-2 test	·	·	✓
SD	Dehydration	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Constipation	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain	✓	✓	✓

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