45T-87883-61366

5 vaccinations 9 coded responses 31 check-ins 9 free-text entries 3 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 993 / WA
Registered: 2021-04-02

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-02
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia — Feeling: Fair · Fatigue or tiredness

Free text: Heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia — Feeling: Good · Fatigue or tiredness

Free text: minor heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Rosacea — Feeling: Good · Site: Pain · Headache

Free text: My Rosacea seems a bit worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Rash, Rosacea — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Rash nay be a rosacea flair up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 28, dose 2
MedDRA: Meniscus injury — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Not related to the vaccine, but my medial meniscus tear of right knee is getting worse. Initial tear was before my first dose of vaccine. Under care of an orthopedic surgeon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Arthroscopy abnormal, Meniscus injury — 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: Had knee arthroscopy for torn lateral meniscus.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Call 1 — Left Voicemail
2021-10-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Dose 3 — Pfizer-BioNTech
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-14
Dose 4 — Pfizer-BioNTech
2022-06-23
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-06-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-26
Survey response — day 42, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: very slight sore throat today after visiting Seattle and Vashon Island.

MedDRA releases: 2024-11 · check-in free text available
2022-09-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-19
Dose 5 — Pfizer-BioNTech
2022-12-13
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Arthritis, Joint swelling, Pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chronic pain and swelling in right knee due to arthritis is a bit worse than before. Also, have sniffles (but tested negative for COVID).

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech
3	2021-11-18	Pfizer-BioNTech	No
4	2022-06-14	Pfizer-BioNTech	No
5	2022-10-19	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-02

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Heartburn

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): minor heartburn

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): My Rosacea seems a bit worse.

2021-04-25

Systemic reaction (other): Rash nay be a rosacea flair up

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Not related to the vaccine, but my medial meniscus tear of right knee is getting worse. Initial tear was before my first dose of vaccine. Under care of an orthopedic surgeon.

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: Had knee arthroscopy for torn lateral meniscus.

Release 12 — day 42, dose 4

2022-07-26

Symptoms: very slight sore throat today after visiting Seattle and Vashon Island.

Release 12 — 6 months, dose 4

2022-12-13

Symptoms: Chronic pain and swelling in right knee due to arthritis is a bit worse than before. Also, have sniffles (but tested negative for COVID).

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	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Arthroscopy	○	·	○
SD	Arthroscopy abnormal	✓	·	✓
SD	Joint swelling	·	·	✓
SD	Meniscus injury	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rosacea	✓	✓	✓

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