ZJZ-79899-15360

3 vaccinations 9 coded responses 28 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 329 / FL
Registered: 2021-02-25

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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-25
Registered in v-safe
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: No

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

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain — Feeling: Good · Site: Pain · Muscle or body aches, Abdominal pain

Free text: Abdominal pain may be from cancer surgery last year

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-17
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: I'm on the National "DO NOT CALL" and the Florida list but today it was quite disturbing. Got 4 separate calls while waiting in line for my Covit booster from fellows trying to sell me final expense insurance, almost freaked me out even asked the nurse if she was sure shot was safe. And when she said yes I asked her if she would take it before me. She replied she already and if I wanted it a different muscle just step out of car and bend over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Provide driving and machinery caution for 3 to 24 hrs after shots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-18
Dose 3 — Pfizer-BioNTech
2022-03-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-22
Survey response — 3 months, dose 3
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · 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: Symptoms: Cancer has apparently returned. Nothing associated with covid · Healthcare visit (other): Routine exam

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-21
Survey response — 6 months, dose 3
MedDRA: Benign renal neoplasm, Benign tumour excision, Surgery — Feeling: Good · 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: Symptoms: Growth in right side kidney; non cancerous and removed · Healthcare visit (other): And surgery

MedDRA releases: 2024-11 · check-in free text available
2022-08-21
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-22
Call 1 — Left Voicemail
2023-02-18
Survey response — 12 months, dose 3
MedDRA: Hospitalisation, Medical counselling, Office visit, Pneumonia, Pre-existing disease — Feeling: Good · 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, Hospitalization

MedDRA releases: 2024-11
2023-02-18
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-02-20
Call 1 — Left Voicemail
2023-02-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-23
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech
3	2022-02-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-22	Successful 2022-05-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-21	Successful 2023-02-23	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-18	Successful 2023-02-23	Not applicable - Accidental Reporting

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): No

2021-02-26

Systemic reaction (other): Tiredness

2021-02-27

Systemic reaction (other): Abdominal pain may be from cancer surgery last year

Release 5 — day 0, dose 2

2021-03-17

Systemic reaction (other): I'm on the National "DO NOT CALL" and the Florida list but today it was quite disturbing. Got 4 separate calls while waiting in line for my Covit booster from fellows trying to sell me final expense insurance, almost freaked me out even asked the nurse if she was sure shot was safe. And when she said yes I asked her if she would take it before me. She replied she already and if I wanted it a different muscle just step out of car and bend over

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Provide driving and machinery caution for 3 to 24 hrs after shots

Release 6 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): None

Release 11 — 3 months, dose 3

2022-05-22

Symptoms: Cancer has apparently returned. Nothing associated with covid

Healthcare visit (other): Routine exam

Release 12 — 6 months, dose 3

2022-08-21

Symptoms: Growth in right side kidney; non cancerous and removed

Healthcare visit (other): And surgery

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Surgery	·	·	✓
SD	Benign renal neoplasm	·	·	✓
SD	Benign tumour excision	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Office visit	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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