3B3-19943-20120

2 vaccinations 8 coded responses 15 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 480 / MI
Registered: 2021-04-15

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: I have arthritis could be just weather change.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Normal arthritis pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains

Free text: Normal weather and arthritis issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-24
Survey response — day 7, dose 1
MedDRA: Back pain, Renal pain — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lower back and kidney paon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-13
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: I have arthritis.... 100% disabled.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 14, dose 2
MedDRA: Nephrolithiasis, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Passed a kidney stone 3 days ago.I have passed or removed stones on 5 previous occasions over last 10 years.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 28, dose 2
MedDRA: Back disorder, Constipation, Haemorrhage, Nephrolithiasis, Pre-existing disease, White blood cell count increased — Feeling: Poor · 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: Arthritis and lower back issues. Constipation.Bleeding for kidney stone stopped.White count up but no sign of infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-11-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-26
Call 1 — Left Voicemail
2022-05-09
Survey response — 12 months, dose 2
MedDRA: Back pain, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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: Pain in back and legs related to a previous condition. Not related to vaccines.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-10
Call 2 — Left Voicemail
2022-05-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): I have arthritis could be just weather change.

2021-04-19

Systemic reaction (other): Normal arthritis pain

2021-04-20

Systemic reaction (other): Normal weather and arthritis issues

Release 7 — day 7, dose 1

2021-04-24

Systemic reaction (other): Lower back and kidney paon

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): I have arthritis.... 100% disabled.

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Passed a kidney stone 3 days ago.I have passed or removed stones on 5 previous occasions over last 10 years.

Release 8 — day 28, dose 2

2021-06-03

Symptoms: Arthritis and lower back issues. Constipation.Bleeding for kidney stone stopped.White count up but no sign of infection.

Release 11 — 12 months, dose 2

2022-05-09

Symptoms: Pain in back and legs related to a previous condition. Not related to vaccines.

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	Back disorder	✓	✓	✓
SD	Back pain	·	·	✓
SD	Constipation	✓	✓	✓
SD	Haemorrhage	✓	✓	✓
SD	Nephrolithiasis	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	White blood cell count increased	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Renal pain	✓	✓	✓

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