4EB-29201-57349

3 vaccinations 14 coded responses 23 check-ins 14 free-text entries 5 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 421 / KY
Registered: 2021-02-21

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

2021-02-20
Dose 1 — Pfizer-BioNTech
2021-02-21
Registered in v-safe
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Good · Site: Pain

Free text: Spike in blood sugar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-03-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose abnormal, Blood glucose increased — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Spike in blood sugar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Elevated blood sugar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Blood glucose increased — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still elevated blood sugar and severe right shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Poor · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Elevated blood sugar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Blood sugar finally went down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-20
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lymph nodes are swollen both sides

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 14, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue easily trouble sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 21, dose 2
MedDRA: Blood glucose increased, Joint stiffness, Musculoskeletal discomfort — Feeling: Fair

Free text: Blood sugar does not want to go down, more joint stiffness and remain at shoulder that received injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 28, dose 2
MedDRA: Myocardial infarction — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Two heart attacks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 28, 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)
2021-04-17
Survey response — day 35, dose 2
MedDRA: Arthralgia, Dyspnoea, Fatigue, Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: New and worsening headaches joint pains shortness of breath and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 35, 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)
2021-04-26
Survey response — day 42, dose 2
MedDRA: Hospitalisation, Oxygen saturation decreased, Pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Was hospitalized for high fever and pain and lack of air · Healthcare visit (other): Still in the hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 42, 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)
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Blood glucose increased, Hypertension — 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: High blood pressure, high blood sugar severe right shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
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)
2021-06-18
Call successful
Participant prefers to complete VAERS report online
2021-08-01
Dose 3 — Pfizer-BioNTech
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Joint stiffness, Pain in extremity, Respiratory disorder — 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, Emergency room or emergency department visit, Hospitalization

Free text: Restrictions on breathing stiffness in joints, my injection site arm is still hurting constantly.

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech
3	2021-08-01	Pfizer-BioNTech	No

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-21

Systemic reaction (other): Spike in blood sugar

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Spike in blood sugar

2021-03-15

Systemic reaction (other): Elevated blood sugar

2021-03-16

Systemic reaction (other): Still elevated blood sugar and severe right shoulder pain

2021-03-17

Systemic reaction (other): Elevated blood sugar

2021-03-18

Systemic reaction (other): Blood sugar finally went down

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): Lymph nodes are swollen both sides

Release 6 — day 14, dose 2

2021-03-27

Symptoms: Fatigue easily trouble sleeping

Release 6 — day 21, dose 2

2021-04-03

Symptoms: Blood sugar does not want to go down, more joint stiffness and remain at shoulder that received injection

Release 7 — day 28, dose 2

2021-04-10

Symptoms: Two heart attacks

Release 7 — day 35, dose 2

2021-04-17

Symptoms: New and worsening headaches joint pains shortness of breath and fatigue

Release 8 — day 42, dose 2

2021-04-26

Symptoms: Was hospitalized for high fever and pain and lack of air

Healthcare visit (other): Still in the hospital

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: High blood pressure, high blood sugar severe right shoulder pain

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Restrictions on breathing stiffness in joints, my injection site arm is still hurting constantly.

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	Hospitalisation	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Joint stiffness	✓	✓	✓
SD	Musculoskeletal discomfort	✓	✓	○
SD	Myocardial infarction	✓	✓	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Blood glucose abnormal	○	✓	○
SRO	Blood glucose increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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