YWD-32183-00477

3 vaccinations 7 coded responses 27 check-ins 7 free-text entries 1 call case

Sex: Male
Age at first dose: 31-35
ZIP prefix: 019 / MA
Registered: 2021-02-19

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Registered dependents

Y58-13197-34278 Child or adolescent in my care · Male · 2021-12-02

Timeline

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

2021-02-19
Registered in v-safe
2021-02-19
Dose 1 — Pfizer-BioNTech
2021-02-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Pfizer-BioNTech
2021-03-12
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Taste of metal when I got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-04-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Fatigue, Impaired work ability, Pre-existing disease — Feeling: Fair · Be unable to work

Free text: Very tired and chest tightness but maybe asthma or a URI related since I get those a fair amount. Had to miss one day of work from it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain, Pruritus — Feeling: Fair

Free text: Very itchy sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Chills, Cough, Headache, Nasal congestion, Nasopharyngitis, Pyrexia, Retching, Rhinorrhoea — 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: Got a nasty cold, Dry heaving, fever 100.1, cough, stuffy nose, headache, and chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — 3 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)
2021-06-24
Call 1 — Could Not Reach Participant
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Fungal skin infection — Feeling: Good

Free text: Fungal rash

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Dose 3 — Pfizer-BioNTech
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Survey response — 6 months, dose 3
MedDRA: Fatty liver alcoholic — Feeling: Fair

Free text: Mom-alcoholic Fatty liver

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Survey response — 12 months, dose 3
MedDRA: Adverse reaction, Brain fog, Fatigue, Head discomfort, Memory impairment, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Really tired and having a hard time remembering things. Currently have a head cold or something. Since the pressure in my head and fog is really messing with me.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Pfizer-BioNTech
2	2021-03-12	Pfizer-BioNTech
3	2021-10-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-11	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Taste of metal when I got the shot

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Very tired and chest tightness but maybe asthma or a URI related since I get those a fair amount. Had to miss one day of work from it.

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Very itchy sore throat

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Got a nasty cold, Dry heaving, fever 100.1, cough, stuffy nose, headache, and chills.

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Fungal rash

Release 11 — 6 months, dose 3

2022-04-18

Symptoms: Mom-alcoholic Fatty liver

Release 12 — 12 months, dose 3

2022-10-18

Symptoms: Really tired and having a hard time remembering things. Currently have a head cold or something. Since the pressure in my head and fog is really messing with me.

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	Adverse reaction	·	·	✓
SD	Brain fog	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fatty liver alcoholic	·	·	✓
SD	Fungal skin infection	·	·	✓
SD	Head discomfort	·	·	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Retching	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓

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