ZPC-10187-29171

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 4 call cases

Sex: Male
Age at first dose: 26-30
ZIP prefix: 960 / CA
Registered: 2020-12-17

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

2020-12-17
Registered in v-safe
2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-18
Survey response — days 1–6 daily, dose 1
MedDRA: Eye swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Was told under my left eye was a little swollen, i did receive the shot in my left deltoid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2020-12-19
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair

Free text: Rapid heart rate while resting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-02
Survey response — day 14, dose 1
MedDRA: Heart rate increased — Feeling: Good

Free text: Have had an increased heart rate of a resting pluse of 124 bpm, but am unsure if it is due to stress or the vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Dose 2 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Fatigue or tiredness, Abdominal pain

Free text: Started getting a cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Headache, Fatigue or tiredness

Free text: Cough off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea, Vomiting, Abdominal pain

Adult check-in
2021-01-13
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Abdominal pain

Adult check-in
2021-01-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-10
Survey response — day 35, dose 2
MedDRA: Chills, Influenza like illness, Nasopharyngitis, Office visit, Pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Body aches, shivering and cold with a fever, believe i have the flu · Healthcare visit (other): Personal doctor on 2/11@3:30

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 35, dose 2
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)
2021-02-17
Survey response — day 42, dose 2
MedDRA: Chills, Nausea, Pain, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Had fever chills, body aches and nausea from 2/9-2/13

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-01
Call 1 — Left Voicemail
2021-07-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech
2	2021-01-06	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2020-12-18	priority 2/3
2020-12-19	priority 2/3
2021-01-07	priority 2/3
2021-02-10	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-18

Systemic reaction (other): Was told under my left eye was a little swollen, i did receive the shot in my left deltoid.

2020-12-22

Systemic reaction (other): Rapid heart rate while resting.

Release 1 — day 14, dose 1

2021-01-02

Symptoms: Have had an increased heart rate of a resting pluse of 124 bpm, but am unsure if it is due to stress or the vaccine related.

Release 1 — days 1–6 daily, dose 2

2021-01-10

Systemic reaction (other): Started getting a cough

2021-01-11

Systemic reaction (other): Cough off and on

Release 4 — day 35, dose 2

2021-02-10

Symptoms: Body aches, shivering and cold with a fever, believe i have the flu

Healthcare visit (other): Personal doctor on 2/11@3:30

Release 4 — day 42, dose 2

2021-02-17

Symptoms: Had fever chills, body aches and nausea from 2/9-2/13

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	Office visit	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓

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