YX7-21860-73398

4 vaccinations 7 coded responses 29 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 930 / CA
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Survey response — day 14, dose 2
MedDRA: Office visit, Skin ulcer — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have a sore on my leg. I will see a podiatrist today. · Healthcare visit (other): Podiatrist

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

1 call case(s)
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 28, dose 2
MedDRA: Blood glucose increased — Feeling: Fair

Free text: My blood sugar is higher than ever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 35, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Allergy has shown up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-19
Call 2 — Left Voicemail
2022-01-17
Dose 3 — Pfizer-BioNTech
2022-02-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-02-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-18
Survey response — 3 months, dose 3
MedDRA: Fall, Skin neoplasm excision — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Skin cancer removed from left arm. · Healthcare visit (other): Fell on back and head

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail
2022-07-22
Dose 4 — Pfizer-BioNTech
2022-07-29
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2022-08-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-26
Survey response — day 35, dose 4
MedDRA: Diarrhoea, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have been suffering with diarrhea and diagnosis for heart valve has been watching the heart for many year. A cardiologist, intern, and intestine physician is working as a team.

MedDRA releases: 2024-11 · check-in free text available
2022-08-26
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-30
Call 1 — Left Voicemail
2022-08-30
Call 2 — Left Voicemail
2022-08-30
Call 1 — Left Voicemail
2022-10-22
Survey response — 3 months, dose 4
MedDRA: Angiogram abnormal, Cardiac valve disease — Feeling: Good

Free text: Heart valve replacement is on the future. Completed a Angiogram.

MedDRA releases: 2024-11 · check-in free text available
2023-01-25
Survey response — 6 months, dose 4
MedDRA: Skin neoplasm excision — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2022-01-17	Pfizer-BioNTech	No
4	2022-07-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-04	Unsuccessful
2022-04-18	Unsuccessful
2022-08-26	Unsuccessful

Free text

Release 5 — day 14, dose 2

2021-03-04

Symptoms: I have a sore on my leg. I will see a podiatrist today.

Healthcare visit (other): Podiatrist

Release 5 — day 28, dose 2

2021-03-17

Symptoms: My blood sugar is higher than ever.

Release 6 — day 35, dose 2

2021-03-25

Symptoms: Allergy has shown up.

Release 11 — 3 months, dose 3

2022-04-18

Symptoms: Skin cancer removed from left arm.

Healthcare visit (other): Fell on back and head

Release 12 — day 35, dose 4

2022-08-26

Symptoms: I have been suffering with diarrhea and diagnosis for heart valve has been watching the heart for many year. A cardiologist, intern, and intestine physician is working as a team.

Release 12 — 3 months, dose 4

2022-10-22

Symptoms: Heart valve replacement is on the future. Completed a Angiogram.

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	Fall	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Angiogram abnormal	·	·	✓
SD	Blood glucose increased	✓	✓	✓
SD	Cardiac valve disease	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Skin neoplasm excision	·	·	✓
SD	Skin ulcer	✓	✓	✓

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