ZCB-23384-38977

4 vaccinations 12 coded responses 44 check-ins 12 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 774 / TX
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Pfizer-BioNTech
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Lethargy — Feeling: Fair · Fatigue or tiredness

Free text: Lethargic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache, Nausea

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Lethargy — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lethargic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-21
Dose 2 — Pfizer-BioNTech
2021-02-21
Health check-in — day 0, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

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

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Eyes ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Good · Site: Itching

Free text: Eyes ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Eyes ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 7, dose 2
MedDRA: Dry eye, Eye pain — Feeling: Good · Site: Itching

Free text: Aching dry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-28
Survey response — day 35, dose 2
MedDRA: Abdominal tenderness, Appetite disorder, Decreased appetite, Dizziness, Feeling abnormal, Vision blurred — Feeling: Good

Free text: A little dizziness, brain fog, difficulty with eyes focusing, and tender stomach. Hungry at times but was satisfied with smaller portions than usual. Eating/ snacking 6 or 7 times day.

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

Adult check-in
2021-05-23
Survey response — 3 months, dose 2
MedDRA: Cough, Decreased appetite — Feeling: Good

Free text: Occasional coughing. Reduced appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-22
Survey response — 6 months, dose 2
MedDRA: Cough, Lethargy, Nasopharyngitis, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: 3 week summer cold..runny nose, cough, lethargy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort — Feeling: Good · Headache, Fatigue or tiredness

Free text: Uneasy stomach - mild

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Survey response — day 7, dose 3
MedDRA: Nausea — Feeling: Good

Free text: Uneasy stomach

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Survey response — day 35, dose 3
MedDRA: Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest pains... NO heart attack. Possibly skeletal, muscle, or digestive systems. TBD. Symptoms NOT rated to COVID vaccination.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-11-05
Call 1 — Left Voicemail
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-21	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-22	Unsuccessful
2021-11-04	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Lethargic

2021-01-31

Systemic reaction (other): Lethargic

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Eyes ache

2021-02-26

Systemic reaction (other): Eyes ache

2021-02-27

Systemic reaction (other): Eyes ache

Release 4 — day 7, dose 2

2021-02-28

Systemic reaction (other): Aching dry eyes

Release 6 — day 35, dose 2

2021-03-28

Symptoms: A little dizziness, brain fog, difficulty with eyes focusing, and tender stomach. Hungry at times but was satisfied with smaller portions than usual. Eating/ snacking 6 or 7 times day.

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: Occasional coughing. Reduced appetite.

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: 3 week summer cold..runny nose, cough, lethargy

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Uneasy stomach - mild

Release 10 — day 7, dose 3

2021-10-05

Systemic reaction (other): Uneasy stomach

Release 10 — day 35, dose 3

2021-11-04

Symptoms: Chest pains... NO heart attack. Possibly skeletal, muscle, or digestive systems. TBD. Symptoms NOT rated to COVID vaccination.

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	Abdominal tenderness	✓	✓	✓
SD	Appetite disorder	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Lethargy	✓	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Dry eye	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Nausea	·	·	✓

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