ZXV-10452-84165

4 vaccinations 13 coded responses 53 check-ins 13 free-text entries 4 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 201 / VA
Registered: 2021-03-20

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

GDZ-67212-38675 Child or adolescent in my care · Male · 2022-06-26

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-20
Registered in v-safe
2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair

Free text: Cough, sore throat, similar to allergy symptoms but I have no known allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Free text: Swollen lymph node under right arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Musculoskeletal chest pain — Feeling: Good · Site: Pain, Swelling

Free text: Swollen lymph node on right side; tender chest

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

Free text: Swollen lymph node under my right arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Swollen lymph node on right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 35, dose 2
MedDRA: Discomfort, Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The lymph node that was swollen after my shot (on the same side as the shot) continues to swell and cause some discomfort. My doctor said to get an ultrasound on it. I plan to return to her to check it first.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Cyst, Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen lymph node on right side (injection side) which has to be monitored in six months to see if it stops swelling. Also found a cyst · Healthcare visit (other): Trip to imaging center for axilla ultrasound

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Pfizer-BioNTech
2021-10-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Sneezing, Tinnitus — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Cough and sneeze for an hour, ringing ears

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Survey response — day 21, dose 3
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Rash on hands, primarily the hands where I got the shot. I'm not sure if it's from the shot or from something like hand sanitizer and the changing weather so I'm having my doctor check it to be sure.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-24
Call 1 — Left Voicemail
2021-11-24
Call successful
Does not wish to fill out VAERS report
2021-11-25
Survey response — day 28, dose 3
MedDRA: Sinusitis — Feeling: Fair

Free text: I have a sinus infection but I don't think it's related to the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-09
Call 1 — Left Voicemail
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-14
Dose 4 — Moderna
2022-09-14
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · None

Adult check-in
2022-09-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-12
Survey response — day 28, dose 4
MedDRA: Influenza virus test negative, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school

Free text: Caught a cold (tested negative for Covid via PCR and RAT and tested negative for flu)

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Survey response — day 35, dose 4
MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Contracted the flu (Flu B)

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — day 35, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-20
Call successful
Not applicable - Accidental Reporting
2022-10-20
Call successful
Not applicable - Accidental Reporting
2022-10-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2021-10-28	Pfizer-BioNTech	No
4	2022-09-14	Moderna	No

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Sore throat

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Cough, sore throat, similar to allergy symptoms but I have no known allergies

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Swollen lymph node under right arm

2021-04-17

Systemic reaction (other): Swollen lymph node on right side; tender chest

2021-04-18

Systemic reaction (other): Swollen lymph node under my right arm

2021-04-19

Systemic reaction (other): Swollen lymph node on right side

Release 8 — day 35, dose 2

2021-05-20

Symptoms: The lymph node that was swollen after my shot (on the same side as the shot) continues to swell and cause some discomfort. My doctor said to get an ultrasound on it. I plan to return to her to check it first.

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Swollen lymph node on right side (injection side) which has to be monitored in six months to see if it stops swelling. Also found a cyst

Healthcare visit (other): Trip to imaging center for axilla ultrasound

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Cough and sneeze for an hour, ringing ears

Release 10 — day 21, dose 3

2021-11-18

Symptoms: Rash on hands, primarily the hands where I got the shot. I'm not sure if it's from the shot or from something like hand sanitizer and the changing weather so I'm having my doctor check it to be sure.

Release 10 — day 28, dose 3

2021-11-25

Symptoms: I have a sinus infection but I don't think it's related to the vaccine.

Release 12 — day 28, dose 4

2022-10-12

Symptoms: Caught a cold (tested negative for Covid via PCR and RAT and tested negative for flu)

Release 12 — day 35, dose 4

2022-10-19

Symptoms: Contracted the flu (Flu B)

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	Cough	✓	✓	✓
SD	Cyst	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Influenza	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Rash	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Cough	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sneezing	·	·	✓
SRO	Tinnitus	·	·	✓

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