Z4X-29904-35723

4 vaccinations 7 coded responses 31 check-ins 7 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 372 / TN
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Pfizer-BioNTech
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Diarrhea

Free text: Runny nose

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

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good

Free text: AM cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-09
Survey response — day 21, dose 2
MedDRA: Balance disorder, Gait disturbance — Feeling: Good

Free text: Lack of balance while walking occasionally.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 28, dose 2
MedDRA: Feeling abnormal, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The doctors believe that I have vertigo. I am going to take a test for it next week. I feel unstable when walking sometimes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 35, dose 2
MedDRA: Balance disorder, Vertigo — Feeling: Good

Free text: My doctor believes it might be vertigo but they are doing some tests to make sure. I feel unsteady sometimes when I'm walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Dose 3 — Pfizer-BioNTech
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — day 28, dose 3
MedDRA: Oropharyngeal pain, Sinus congestion — Feeling: Fair

Free text: I'm beginning to have a sore throat and a sinus congestion it started yesterday

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-22
Dose 4 — Pfizer-BioNTech
2022-10-21
Survey response — 3 months, dose 4
MedDRA: Aortic stenosis, Pre-existing disease, Rhinorrhoea — Feeling: Fair

Free text: Aortic stenosis is new. Already have a pacemaker. Occasional runny nose in the morning

MedDRA releases: 2024-11 · check-in free text available
2023-01-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-11-20	Pfizer-BioNTech	No
4	2022-07-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-17	Successful 2022-03-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Runny nose

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): AM cough

Release 7 — day 21, dose 2

2021-04-09

Symptoms: Lack of balance while walking occasionally.

Release 7 — day 28, dose 2

2021-04-17

Symptoms: The doctors believe that I have vertigo. I am going to take a test for it next week. I feel unstable when walking sometimes

Release 7 — day 35, dose 2

2021-04-23

Symptoms: My doctor believes it might be vertigo but they are doing some tests to make sure. I feel unsteady sometimes when I'm walking.

Release 10 — day 28, dose 3

2021-12-19

Symptoms: I'm beginning to have a sore throat and a sinus congestion it started yesterday

Release 12 — 3 months, dose 4

2022-10-21

Symptoms: Aortic stenosis is new. Already have a pacemaker. Occasional runny nose in the morning

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	Aortic stenosis	·	·	✓
SD	Balance disorder	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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