24N-32164-80972

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 983 / WA
Registered: 2021-04-10

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

WY3-26146-48894 Child or adolescent in my care · Female · 2021-10-11

Timeline

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

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-04-10
Registered in v-safe
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Survey response — day 28, dose 1
MedDRA: Arthralgia, Asthenia, Dizziness, Headache — Feeling: Fair

Free text: Sever e hip pain, headaches and at times lightheadedness and weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Joint pain in the hip started after the first injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: I've had really bad hip pain since about two days after the first injection. I can't be positive it's related but I did nothing to enter myself and a co-worker who had the same shot also had severe hip pain unable to move it, coincidence maybe but not likely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — day 7, dose 2
MedDRA: Arthralgia — Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Painful hip since the first injection, no injury no explanation other than vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 14, dose 2
MedDRA: Arthralgia, Office visit, Temporomandibular joint syndrome — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: TMJ diagnosed by a physician, that with continuing hip pain which is slightly improving. · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 14, 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)
2021-05-01
Survey response — day 21, dose 2
MedDRA: Arthralgia, Dizziness, Temporomandibular joint syndrome, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Light headed at times could be unrelated and hip pain which is subsiding somewhat. My doctor diagnosed and treated me for TMJ after second injection · Healthcare visit (other): Doctor's office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-10
Survey response — 3 months, dose 2
MedDRA: Pain in jaw — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Jaw Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-19
Call 1 — Left Voicemail
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — day 28, dose 1

2021-04-10

Symptoms: Sever e hip pain, headaches and at times lightheadedness and weakness

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Joint pain in the hip started after the first injection.

2021-04-14

Systemic reaction (other): I've had really bad hip pain since about two days after the first injection. I can't be positive it's related but I did nothing to enter myself and a co-worker who had the same shot also had severe hip pain unable to move it, coincidence maybe but not likely.

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): Painful hip since the first injection, no injury no explanation other than vaccine

Release 7 — day 14, dose 2

2021-04-24

Symptoms: TMJ diagnosed by a physician, that with continuing hip pain which is slightly improving.

Healthcare visit (other): Doctors office

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Light headed at times could be unrelated and hip pain which is subsiding somewhat. My doctor diagnosed and treated me for TMJ after second injection

Healthcare visit (other): Doctor's office

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: Jaw Pain

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Temporomandibular joint syndrome	✓	✓	✓
SRO	Arthralgia	✓	✓	✓

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