28D-27762-11609

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 630 / MO
Registered: 2021-02-23

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Pfizer-BioNTech
2021-02-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Chills

Free text: Nope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis, Erythema, Gout, Pre-existing disease, Swelling — Feeling: Fair · Fever · Chills, Joint pains · Be unable to do your normal daily activities

Free text: Arthritis or gout flare up in left foot, redness & swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Gout, Pre-existing disease — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: Gout outbreak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Gout — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Gout continues but receding.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 7, dose 1
MedDRA: Arthralgia, Gout, Pre-existing disease — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: My right knee is aching for no known reason. Also, gout has affected my left foot. Related? Seeing doctor on Thursday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 14, dose 1
MedDRA: Gout — 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: Gout. Left foot on 2/27/21. Then in right knee on 3/3/21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — day 21, dose 1
MedDRA: Gout, Hypertension — 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: Gout in left foot and right knee. Blood pressure running high, 140 - 150/75.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-04-06
Survey response — day 7, dose 2
MedDRA: Gout — Feeling: Good

Free text: Gout

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 42, dose 2
MedDRA: Gout — Feeling: Fair · 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: Gout. Left wrist, hand and shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Nope

2021-02-27

Systemic reaction (other): Arthritis or gout flare up in left foot, redness & swelling.

2021-02-28

Systemic reaction (other): Gout outbreak.

2021-03-01

Systemic reaction (other): Gout continues but receding.

Release 4 — day 7, dose 1

2021-03-02

Systemic reaction (other): My right knee is aching for no known reason. Also, gout has affected my left foot. Related? Seeing doctor on Thursday.

Release 5 — day 14, dose 1

2021-03-09

Symptoms: Gout. Left foot on 2/27/21. Then in right knee on 3/3/21.

Release 5 — day 21, dose 1

2021-03-17

Symptoms: Gout in left foot and right knee. Blood pressure running high, 140 - 150/75.

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Gout

Release 8 — day 42, dose 2

2021-05-08

Symptoms: Gout. Left wrist, hand and shoulder.

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	Gout	✓	✓	✓
SD	Hypertension	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Gout	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Swelling	✓	✓	✓

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