Z32-31669-10561

4 vaccinations 6 coded responses 30 check-ins 5 free-text entries 2 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 980 / WA
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: One period of increased pulse, pronounced heart beat, BEGINNING yeserdayt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I am immunosuppressed due to kidney/pancreas transplant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Chills, Hypersomnia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have not been promoted for an update for a few weeks. My doctor has determined that I was developing a serious case of shingles at the time of my first dose. So it would appear likely that excessive sleep and the chills side-effects

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 14, dose 1
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)
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Survey response — day 0, dose 2
MedDRA: Herpes zoster — Feeling: Fair

Free text: Have had shingles since 3/19/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

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

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 28, dose 2
MedDRA: Pre-existing disease, Secretion discharge — Feeling: Good

Free text: Some buildup of mucus in bromcjka -; probably spring allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Dose 3 — Pfizer-BioNTech
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-05
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-03-15
Call 1 — Left Voicemail
2022-03-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-17
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-04-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-17
Survey response — 12 months, dose 4
MedDRA: Catarrh, Office visit, Viral infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-03-17
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-03-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-08-07	Pfizer-BioNTech	No
4	2022-03-17	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-31	Successful 2022-03-15	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-03-17	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): One period of increased pulse, pronounced heart beat, BEGINNING yeserdayt

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): I am immunosuppressed due to kidney/pancreas transplant

Release 6 — day 14, dose 1

2021-03-31

Symptoms: I have not been promoted for an update for a few weeks. My doctor has determined that I was developing a serious case of shingles at the time of my first dose. So it would appear likely that excessive sleep and the chills side-effects

Release 7 — day 0, dose 2

2021-04-07

Systemic reaction (other): Have had shingles since 3/19/21

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Some buildup of mucus in bromcjka -; probably spring allergies

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	Office visit	·	·	✓
SD	Catarrh	·	·	✓
SD	Chills	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Secretion discharge	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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