ZDL-26795-07413

4 vaccinations 22 coded responses 50 check-ins 21 free-text entries 3 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 582 / ND
Registered: 2021-01-08

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

2021-01-07
Dose 1 — Pfizer-BioNTech
2021-01-08
Registered in v-safe
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Arthralgia, Pain in extremity — Feeling: Good

Free text: Minor pain in joints of toes and hands (rate 2-3 on scale from 1 to 10) that lasted 1-2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Dose 2 — Pfizer-BioNTech
2021-01-28
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Cold sweat, Dizziness, Hyperhidrosis — Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea

Free text: Dizziness/lightheadedness and sweatiness/cold sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Cold sweat — Feeling: Good

Free text: Cold sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Hypoglycaemia, Paraesthesia oral — Feeling: Poor · Chills · Be unable to work, Be unable to do your normal daily activities

Free text: Severe sweating, hypoglycemia (blood sugar was 57 and This has never happened before), tingling in tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Chills

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hepatic pain — Feeling: Good · Abdominal pain

Free text: Dizziness, some pain in area of liver

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizzy off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 28, dose 2
MedDRA: Arthralgia, Pain in extremity, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infectionPain in joints of toes (never experienced this before)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Cough, Ear discomfort, Nasal congestion, Nasal pruritus, Rhinorrhoea — Feeling: Fair

Free text: Nasal congestion, plugged ears, slight cough, runny/itchy nose with clear discharge

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Call 1 — Left Voicemail
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-04
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Lightheadedness

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lightheadedness; unilateral foot pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Lightheadedness

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Light headed

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Hot flush — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Lightheaded; hot flushes

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-12
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-20
Survey response — day 14, dose 3
MedDRA: Sinusitis — Feeling: Fair

Free text: sinus infection

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Survey response — day 21, dose 3
MedDRA: SARS-CoV-2 test, Vertigo — Feeling: Fair · 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: Symptoms: Vertigo · Healthcare visit (other): Also took covid test at local pharmacy

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 21, dose 3
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)
2021-10-27
Call 2 — Left Voicemail
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Survey response — 6 months, dose 3
MedDRA: Fatigue, Headache, Myalgia, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bad head cold with headache (sharp pain), muscle aches, fatigue, sore throat. Three covid tests came back negative.

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-19
Survey response — days 1–6 daily, dose 4
MedDRA: Gingival discolouration, Gingival erythema, Noninfective gingivitis — Feeling: Fair · Site: Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Red, inflamed gums with white sore on gums.

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — days 1–6 daily, dose 4
MedDRA: Gingival discolouration, Gingival erythema, Gingival swelling, Noninfective gingivitis — Feeling: Fair · Site: Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Red, puffy, swollen gums with second white sore on gums (my gums are normally pink and healthy)

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Survey response — days 1–6 daily, dose 4
MedDRA: Gingival erythema, Noninfective gingivitis — Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness

Free text: Red inflamed gums

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Health check-in — day 7, dose 4
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-17
Survey response — 6 months, dose 4
MedDRA: Malaise, Sinusitis — 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

MedDRA releases: 2024-11
2023-03-17
Report sent to call center — 6 months, dose 4
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)
2023-03-20
Call 1 — Could Not Reach Participant
2023-03-20
Call 1 — Could Not Reach Participant
2023-03-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Pfizer-BioNTech
2	2021-01-28	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-09-16	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-02-25	Successful 2023-03-23	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-25	Successful 2023-03-23	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-17	Successful 2023-03-23	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Mild dizziness

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Minor pain in joints of toes and hands (rate 2-3 on scale from 1 to 10) that lasted 1-2 days.

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Dizziness/lightheadedness and sweatiness/cold sweats

2021-01-31

Systemic reaction (other): Cold sweats

2021-02-01

Systemic reaction (other): Severe sweating, hypoglycemia (blood sugar was 57 and This has never happened before), tingling in tongue

2021-02-02

Systemic reaction (other): Dizziness

2021-02-03

Systemic reaction (other): Dizziness, some pain in area of liver

Release 3 — day 7, dose 2

2021-02-04

Systemic reaction (other): Dizzy off and on

Release 4 — day 28, dose 2

2021-02-25

Symptoms: Sinus infectionPain in joints of toes (never experienced this before)

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Nasal congestion, plugged ears, slight cough, runny/itchy nose with clear discharge

Release 10 — day 0, dose 3

2021-10-04

Systemic reaction (other): Lightheadedness

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Lightheadedness; unilateral foot pain

2021-10-06

Systemic reaction (other): Lightheadedness

2021-10-07

Systemic reaction (other): Light headed

2021-10-08

Systemic reaction (other): Lightheaded; hot flushes

Release 10 — day 14, dose 3

2021-10-20

Symptoms: sinus infection

Release 10 — day 21, dose 3

2021-10-25

Symptoms: Vertigo

Healthcare visit (other): Also took covid test at local pharmacy

Release 11 — 6 months, dose 3

2022-04-04

Symptoms: Bad head cold with headache (sharp pain), muscle aches, fatigue, sore throat. Three covid tests came back negative.

Release 12 — days 1–6 daily, dose 4

2022-09-19

Systemic reaction (other): Red, inflamed gums with white sore on gums.

2022-09-20

Systemic reaction (other): Red, puffy, swollen gums with second white sore on gums (my gums are normally pink and healthy)

2022-09-21

Systemic reaction (other): Red inflamed gums

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	SARS-CoV-2 test	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	✓	·	✓
SD	Ear discomfort	✓	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	✓	·	✓
SD	Nasal pruritus	✓	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Cold sweat	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Gingival discolouration	·	·	✓
SRO	Gingival erythema	·	·	✓
SRO	Gingival swelling	·	·	✓
SRO	Hepatic pain	✓	✓	✓
SRO	Hot flush	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypoglycaemia	✓	✓	✓
SRO	Noninfective gingivitis	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Paraesthesia oral	✓	✓	✓

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