ZS5-17982-71654

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 030 / NH
Registered: 2021-02-15

Relationship: Self
Race: Multiracial
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
Dose 1 — Pfizer-BioNTech
2021-02-15
Registered in v-safe
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion, cough, etc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — day 14, dose 1
MedDRA: Chills, Fatigue, Headache, Nausea, Pain, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chills, body aches, headache,nausea, vomiting, fatigue, etc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Dose 2 — Pfizer-BioNTech
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · 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

Free text: POSSIBILTY OF PANCREATITIS - EMERGENCY ABDOMINAL ULTRASOUND SCHEDULED FOR 10:30 AM ON TUESDAY 09 MARCH 2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 14, dose 2
MedDRA: Chills, Fatigue, Nausea, Pain, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea, vomiting, fatigue, body aches, elevated lipase & white blood cell counts,chills, etc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: See notes from last week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 35, dose 2
MedDRA: Chills, Diarrhoea, Lethargy, Nausea, Pain, Vomiting — Feeling: Poor · 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: Aches, chills, diarrhea, lethargy,nausea, vomiting, etc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
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)
2021-08-30
Survey response — 6 months, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Too complex to explain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-01
Call 1 — Could Not Reach Participant
2021-09-07
Call 2 — Left Voicemail
2022-03-01
Survey response — 12 months, dose 2
MedDRA: Aphonia, Oropharyngeal pain, Respiratory tract congestion, Throat irritation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Loss of voice, severe congestion, extremely sore / irritated throat, etc

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Pfizer-BioNTech
2	2021-03-01	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-07	Unsuccessful
2021-08-30	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Congestion, cough, etc

Release 4 — day 14, dose 1

2021-02-28

Symptoms: Chills, body aches, headache,nausea, vomiting, fatigue, etc

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): POSSIBILTY OF PANCREATITIS - EMERGENCY ABDOMINAL ULTRASOUND SCHEDULED FOR 10:30 AM ON TUESDAY 09 MARCH 2021

Release 5 — day 14, dose 2

2021-03-17

Symptoms: Nausea, vomiting, fatigue, body aches, elevated lipase & white blood cell counts,chills, etc

Release 6 — day 21, dose 2

2021-03-23

Symptoms: See notes from last week

Release 7 — day 35, dose 2

2021-04-07

Symptoms: Aches, chills, diarrhea, lethargy,nausea, vomiting, etc

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: Too complex to explain

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: Loss of voice, severe congestion, extremely sore / irritated throat, 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
SD	Adverse reaction	✓	·	✓
SD	Aphonia	·	·	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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