349-18249-30683

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 981 / WA
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Abdominal pain lasted most of the day yesterday and is better today. When I did the survey it thought it was transitory but lasted all day. That is an unusual symptom for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 14, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: I am pretty sure it has nothing to do with the vaccine. I got stem cells injected into my thumb yesterday and there effects from that, but its not bad. Just feel a tad fragile because I cant use that hand much and have to be quite careful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-04-07
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Symptoms lasted maybe 5 days are were mild except I was quite tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 21, dose 2
MedDRA: Fall, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: All related to a nasty fall on the sidewalk- nothing to do with the vaccine. A special 5 point landing beat me up pretty good, but the 5-point part probably prevented broken bones. · Healthcare visit (other): X-ray at doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-05
Survey response — 3 months, dose 3
MedDRA: Brain fog, Fatigue, Headache, Myalgia, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Muscle aches, sore throat, headache, serious brain fog and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Survey response — 6 months, dose 3
MedDRA: Inflammation, Plantar fasciitis — Feeling: Good · 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: Inflammation problems- hamstring, plantar faciitis, both hands

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
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)
2022-04-11
Call successful
Participant prefers to complete VAERS report online
2022-10-08
Survey response — 12 months, dose 3
MedDRA: Back disorder, Pre-existing disease, Tendon disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Not sure when the last survey was, but starting in April had some significant back issues which are directly or indirectly related to what I am calling long Covid. This and a whole host of tendon issues are finally mostly resolved, I hope.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Abdominal pain lasted most of the day yesterday and is better today. When I did the survey it thought it was transitory but lasted all day. That is an unusual symptom for me

Release 6 — day 14, dose 1

2021-03-24

Symptoms: I am pretty sure it has nothing to do with the vaccine. I got stem cells injected into my thumb yesterday and there effects from that, but its not bad. Just feel a tad fragile because I cant use that hand much and have to be quite careful.

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): Symptoms lasted maybe 5 days are were mild except I was quite tired

Release 7 — day 21, dose 2

2021-04-23

Symptoms: All related to a nasty fall on the sidewalk- nothing to do with the vaccine. A special 5 point landing beat me up pretty good, but the 5-point part probably prevented broken bones.

Healthcare visit (other): X-ray at doctors office

Release 10 — 3 months, dose 3

2022-01-05

Symptoms: Muscle aches, sore throat, headache, serious brain fog and fatigue

Release 11 — 6 months, dose 3

2022-04-06

Symptoms: Inflammation problems- hamstring, plantar faciitis, both hands

Release 12 — 12 months, dose 3

2022-10-08

Symptoms: Not sure when the last survey was, but starting in April had some significant back issues which are directly or indirectly related to what I am calling long Covid. This and a whole host of tendon issues are finally mostly resolved, I hope.

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	Back disorder	·	·	✓
SD	Brain fog	·	·	✓
SD	Fall	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Inflammation	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Plantar fasciitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Tendon disorder	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓

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