ZPU-25494-61672

3 vaccinations 7 coded responses 27 check-ins 7 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 221 / VA
Registered: 2021-02-14

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

2021-02-14
Registered in v-safe
2021-02-14
Dose 1 — Pfizer-BioNTech
2021-02-14
Survey response — day 0, dose 1
MedDRA: Vision blurred — Feeling: Fair · Headache, Nausea

Free text: A little blurred vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — day 7, dose 1
Feeling: Good · Chills

Adult check-in
2021-02-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Pfizer-BioNTech
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-19
Survey response — day 14, dose 2
MedDRA: Facial spasm — Feeling: Good

Free text: Experiencing a tick or spasm where my right side of my cheek meets my right nostril This started afteR I received second Pfizer dose but did not think it was worth reporting. Appears to be lessening over time and now infrequent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Joint swelling, Peripheral swelling — Feeling: Good

Free text: Swelling in legs and left ankle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Dose 3 — Pfizer-BioNTech
2021-10-02
Survey response — day 7, dose 3
MedDRA: No adverse event — Feeling: Good · Headache, Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — 3 months, dose 3
MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash on chest and nose · Healthcare visit (other): Dermatologist

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-28
Call successful
Does not wish to fill out VAERS report
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Unevaluable event — 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: Being checked for potential cardiac issues

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Report sent to call center — 6 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)
2022-03-31
Call 1 — Left Voicemail
2022-09-27
Survey response — 12 months, dose 3
MedDRA: Dysphagia, Dysphonia, Dyspnoea, Oesophageal discomfort, Office visit, Sensation of foreign body, Sinus headache, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Being assessed by multiple doctors regarding sinus headaches, post nasal drips, raspy throat, esophageal discomfort, swallowing issues, and globus, and some breathing issues · Healthcare visit (other): Multiple office visits: cardiologist, pulmonologist , ENT, etc

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-29
Call 2 — Left Voicemail
2022-09-29
Call 1 — Could Not Reach Participant
2022-10-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-04
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Pfizer-BioNTech
2	2021-03-05	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-27	Successful 2021-12-28	Does not wish to fill out VAERS report
2022-03-28	Successful 2022-10-04	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-27	Successful 2022-10-04	Does not wish to fill out VAERS report

Free text

Release 4 — day 0, dose 1

2021-02-14

Systemic reaction (other): A little blurred vision

Release 5 — day 14, dose 2

2021-03-19

Symptoms: Experiencing a tick or spasm where my right side of my cheek meets my right nostril This started afteR I received second Pfizer dose but did not think it was worth reporting. Appears to be lessening over time and now infrequent

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Swelling in legs and left ankle

Release 9 — day 7, dose 3

2021-10-02

Systemic reaction (other): No

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Rash on chest and nose

Healthcare visit (other): Dermatologist

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: Being checked for potential cardiac issues

Release 12 — 12 months, dose 3

2022-09-27

Symptoms: Being assessed by multiple doctors regarding sinus headaches, post nasal drips, raspy throat, esophageal discomfort, swallowing issues, and globus, and some breathing issues

Healthcare visit (other): Multiple office visits: cardiologist, pulmonologist , ENT, etc

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	Dysphagia	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Facial spasm	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Oesophageal discomfort	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	·	·	✓
SD	Sensation of foreign body	·	·	✓
SD	Sinus headache	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Vision blurred	✓	✓	✓

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