ZE6-21254-74304

5 vaccinations 11 coded responses 57 check-ins 11 free-text entries 2 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 891 / NV
Registered: 2021-03-03

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

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

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Joint pains

Free text: Mild soreness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — day 7, dose 1
MedDRA: Sputum discoloured — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Green phlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 14, dose 1
MedDRA: Body temperature decreased, Decreased appetite, Dehydration, Feeling abnormal, Headache, Insomnia, Oropharyngeal pain, Productive cough — Feeling: Fair · 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

Free text: 6 days after shot: Coughing green phlegm, low body temperature, sore throat, headaches, brain fog, low appetite, dehydration, insomnia, and more. Havent been out since shot. Always wear a mask. Symptoms slightly improved but days 6-12 were brutal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 14, 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)
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Reaction to previous exposure to any vaccine — Feeling: Good

Free text: First shot was awful after day 6 and lasted about a week. 2nd shot seems fine, hopefully will continue this way.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth — Feeling: Good

Free text: Very dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

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

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-13
Survey response — day 14, dose 3
MedDRA: Dizziness, Headache, Mood swings — Feeling: Fair

Free text: Headaches, dizziness, mood swings

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Survey response — day 28, dose 3
MedDRA: Adverse reaction, Headache, Nasal congestion, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Likely allergyattack yesterday (sneezing, stuffy and runny nose, headache, etc) but feel much better today. No temperature and o2sat is at 98%

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-03
Call 1 — Left Voicemail
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-04-10
Survey response — day 7, dose 4
MedDRA: Throat irritation — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Burning sensation in throat five days after 2nd booster

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Survey response — 3 months, dose 4
MedDRA: COVID-19 — 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, Emergency room or emergency department visit

Free text: Covid infection

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Report sent to call center — 3 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-07-06
Call 2 — Left Voicemail
2022-07-06
Call 1 — Left Voicemail
2022-11-12
Dose 5 — Pfizer-BioNTech
2022-11-12
Survey response — day 0, dose 5
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-15
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-11-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-11-19
Health check-in — day 7, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-11-26
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-03
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-10
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-12-17
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-24
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-04-01	Pfizer-BioNTech	No
5	2022-11-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-17	Unsuccessful
2022-07-01	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Mild soreness at injection site

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): Green phlegm

Release 5 — day 14, dose 1

2021-03-17

Symptoms: 6 days after shot: Coughing green phlegm, low body temperature, sore throat, headaches, brain fog, low appetite, dehydration, insomnia, and more. Havent been out since shot. Always wear a mask. Symptoms slightly improved but days 6-12 were brutal.

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): First shot was awful after day 6 and lasted about a week. 2nd shot seems fine, hopefully will continue this way.

2021-03-30

Systemic reaction (other): Very dry mouth

Release 10 — day 14, dose 3

2021-10-13

Symptoms: Headaches, dizziness, mood swings

Release 10 — day 28, dose 3

2021-10-27

Symptoms: Likely allergyattack yesterday (sneezing, stuffy and runny nose, headache, etc) but feel much better today. No temperature and o2sat is at 98%

Release 11 — day 7, dose 4

2022-04-10

Systemic reaction (other): Burning sensation in throat five days after 2nd booster

Release 12 — 3 months, dose 4

2022-07-01

Symptoms: Covid infection

Release 12 — day 0, dose 5

2022-11-12

Systemic reaction (other): Sore throat

Release 12 — days 1–6 daily, dose 5

2022-11-13

Systemic reaction (other): Sore throat

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	Adverse reaction	·	·	✓
SD	Body temperature decreased	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dehydration	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Mood swings	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Dry mouth	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Sputum discoloured	✓	✓	✓
SRO	Throat irritation	·	·	✓

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