Z9S-14211-56900

3 vaccinations 17 coded responses 34 check-ins 17 free-text entries 18 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 731 / OK
Registered: 2021-01-01

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

2020-12-31
Dose 1 — Pfizer-BioNTech
2021-01-01
Registered in v-safe
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very tired today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling — Feeling: Poor · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swollen neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Laboratory test — Feeling: Poor · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, 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: Blood work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, 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)
2021-01-07
Health check-in — day 7, dose 1
Feeling: Poor · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · 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, Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-07
Report sent to call center — day 7, 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)
2021-01-14
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-20
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · 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

Adult check-in
2021-01-20
Report sent to call center — day 0, dose 2
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)
2021-01-21
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: My Private Dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · 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 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-01-27
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Survey response — day 14, dose 2
MedDRA: Muscle spasms, Pruritus — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Itching, severe muscle spasms, including my diagram.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 21, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Had to start taking Thyroid meds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Survey response — day 28, dose 2
MedDRA: Ageusia, Anosmia, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: For some reason I have felt tired, no taste, poor smell?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-03-03
Survey response — day 42, dose 2
MedDRA: Chest pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: My left knee has wore down faster than unusual, consistent tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — 3 months, dose 2
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)
2021-07-21
Survey response — 6 months, dose 2
MedDRA: Fall, Tremor — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Have tremors of my hands, have fell several times

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-25
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · 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

Adult check-in
2021-09-29
Report sent to call center — days 1–6 daily, 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 · 1 call case(s)
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-02
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · 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

Adult check-in
2021-10-02
Report sent to call center — day 7, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-09
Survey response — day 14, dose 3
MedDRA: Asthenia, Pyrexia, Unevaluable event — 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: Breathing, weakness Fever

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — day 14, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-16
Survey response — day 21, dose 3
MedDRA: Joint swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Knee swelling

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-30
Survey response — day 35, dose 3
MedDRA: Back pain, Condition aggravated, Fatigue, Joint swelling, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I haven't been well since my booster. My knee replacements, continue to bother me and swell. Starting noticing increased fatigue and back pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — day 42, dose 3
MedDRA: Depression, Fatigue — 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 · Outpatient clinic or urgent care clinic visit

Free text: Continued fatigue and depression

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Report sent to call center — day 42, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-09
Call 1 — Could Not Reach Participant
2021-11-12
Call successful
Completed over the phone
2021-12-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-26
Survey response — 6 months, dose 3
MedDRA: Back pain, Cardiac disorder, Medical procedure, Nasal neoplasm — 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, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Cardio problems, had a heart catheraezration. Back pain very severe, have had to receive back procedures. Growth in my nose being removed this week. I have never recovered from my last shot. Will NOT, ever trust the Government again! · Healthcare visit (other): Procedures

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
Report sent to call center — 6 months, 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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-28
Call 1 — Could Not Reach Participant
2022-03-28
Call successful
Other
2022-09-25
Survey response — 12 months, dose 3
MedDRA: Adverse reaction — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I have never recovered from my 3rd vacation for Covid last August. I have never felt good or able to function as I did before the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Report sent to call center — 12 months, 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)
2022-09-27
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-02	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-03	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-04	Successful	Does not wish to fill out VAERS report
2021-01-06	Successful	Does not wish to fill out VAERS report
2021-01-07	Successful	Does not wish to fill out VAERS report
2021-01-20	Successful	Does not wish to fill out VAERS report
2021-01-21	Successful	Does not wish to fill out VAERS report
2021-01-27	Successful	Does not wish to fill out VAERS report
2021-02-10	Successful	Does not wish to fill out VAERS report
2021-02-17	Successful	Does not wish to fill out VAERS report
2021-04-21	Successful	Does not wish to fill out VAERS report
2021-07-21	Successful	Does not wish to fill out VAERS report
2021-09-29	Successful	Completed over the phone
2021-10-02	Successful	Completed over the phone
2021-10-09	Successful	Completed over the phone
2021-11-06	Successful 2021-11-12	Completed over the phone
2022-03-26	Successful 2022-03-28	Other
2022-09-25	Successful 2022-09-27	Reported to VAERS during previous contact from GDIT

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Very tired today

2021-01-03

Systemic reaction (other): Swollen neck

2021-01-04

Systemic reaction (other): Swollen neck

2021-01-06

Healthcare visit (other): Blood work

Release 2 — days 1–6 daily, dose 2

2021-01-21

Healthcare visit (other): My Private Dr

Release 3 — day 14, dose 2

2021-02-03

Symptoms: Itching, severe muscle spasms, including my diagram.

Release 4 — day 21, dose 2

2021-02-10

Symptoms: Had to start taking Thyroid meds

Release 4 — day 28, dose 2

2021-02-17

Symptoms: For some reason I have felt tired, no taste, poor smell?

Release 5 — day 42, dose 2

2021-03-03

Symptoms: Chest pain

Release 7 — 3 months, dose 2

2021-04-21

Symptoms: My left knee has wore down faster than unusual, consistent tiredness.

Release 9 — 6 months, dose 2

2021-07-21

Symptoms: Have tremors of my hands, have fell several times

Release 10 — day 14, dose 3

2021-10-09

Symptoms: Breathing, weakness Fever

Release 10 — day 21, dose 3

2021-10-16

Symptoms: Knee swelling

Release 10 — day 35, dose 3

2021-10-30

Symptoms: I haven't been well since my booster. My knee replacements, continue to bother me and swell. Starting noticing increased fatigue and back pain.

Release 10 — day 42, dose 3

2021-11-06

Symptoms: Continued fatigue and depression

Release 11 — 6 months, dose 3

2022-03-26

Symptoms: Cardio problems, had a heart catheraezration. Back pain very severe, have had to receive back procedures. Growth in my nose being removed this week. I have never recovered from my last shot. Will NOT, ever trust the Government again!

Healthcare visit (other): Procedures

Release 12 — 12 months, dose 3

2022-09-25

Symptoms: I have never recovered from my 3rd vacation for Covid last August. I have never felt good or able to function as I did before the vaccine.

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	Laboratory test	✓	✓	✓
HCVO	Medical procedure	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Adverse reaction	·	·	✓
SD	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Depression	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Medical procedure	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasal neoplasm	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Tremor	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Swelling	✓	✓	✓

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