ZDV-67804-50827

3 vaccinations 6 coded responses 27 check-ins 6 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 980 / WA
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Somewhat tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Lacrimation increased, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Runny Nose, Watery Eyes, Sneezing, although I suffer from allergies. Its allergy season here in the Pacific Northwest. I don't think these symptoms are related to my Vaccine but I thought I would mention them anyway.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: I am taking Humira so keep a track of me my immune system is suppressed with Humira. Hopefully this will work for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Seems better than yesterday my headache is not as bad taking low dose Tylenol.

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: Im taking Other meds like Humira so Im Not sure if the vaccine made me tired or the Pfizer Jab either way I am grateful to receive these medicines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-18
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-08-20
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: COVID

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-23
Call 1 — Left Voicemail
2022-08-23
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	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-08-20	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-08-20	Successful 2022-08-23	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Somewhat tired

2021-03-17

Systemic reaction (other): Runny Nose, Watery Eyes, Sneezing, although I suffer from allergies. Its allergy season here in the Pacific Northwest. I don't think these symptoms are related to my Vaccine but I thought I would mention them anyway.

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): I am taking Humira so keep a track of me my immune system is suppressed with Humira. Hopefully this will work for me.

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Seems better than yesterday my headache is not as bad taking low dose Tylenol.

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Im taking Other meds like Humira so Im Not sure if the vaccine made me tired or the Pfizer Jab either way I am grateful to receive these medicines.

Release 12 — 12 months, dose 3

2022-08-20

Symptoms: COVID

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	COVID-19	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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