4PN-11354-51057

3 vaccinations 11 coded responses 25 check-ins 11 free-text entries 4 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 706 / LA
Registered: 2021-01-13

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Pfizer-BioNTech
2021-01-13
Survey response — day 0, dose 1
MedDRA: Anxiety, Paraesthesia — Feeling: Good · Nausea

Free text: fascial tingling, feel uneasy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Dyspepsia — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Hearrburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-03
Dose 2 — Pfizer-BioNTech
2021-02-10
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Arthritis, Back pain, Dupuytren's contracture, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Arthritis dupyutren contractires, myalgia joint pain and backache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Eye pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Free text: Severe eye pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Arthritis — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Abd soreness, arthritis

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Dupuytren's contracture — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dupytren contracture

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-10-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Survey response — day 28, dose 3
MedDRA: Arthralgia, Arthritis — Feeling: Good · Be unable to do your normal daily activities

Free text: Arthritis , pain in joints

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Call 1 — Left Voicemail
2021-11-04
Survey response — day 35, dose 3
MedDRA: Arthritis, Dupuytren's contracture, Myalgia — Feeling: Good

Free text: Arthritis, myalgia and Dupytren contracure both ring fingers

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 42, dose 3
MedDRA: Arthralgia, Arthritis, Back pain, Condition aggravated, Muscle strain, Neck pain, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My arthritis progressively getting worst, painful right and left shoulders, neck , back and all small joints of hands and toes of leg , got sprain on right neck muscles, dupytren getting worst will get surgery. · Healthcare visit (other): Schedule aptt

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-15
Call 1 — Could Not Reach Participant
2021-11-18
Call 2 — Could Not Reach Participant
2021-12-30
Survey response — 3 months, dose 3
MedDRA: Arthritis, Diabetes mellitus, Dupuytren's contracture, Fatigue, Myalgia, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Arthritis worsening with D contracture. Diabetes worst myalgia worst. Fatigue · Healthcare visit (other): Dr. (b)(6) nurse took care

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-04
Call 1 — Could Not Reach Participant
2022-01-07
Call 2 — Could Not Reach Participant
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Arthritis, Dyspnoea exertional, Fatigue, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Arthritis and resp dyspnoea on exertion, myalgia, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-04
Call 1 — Could Not Reach Participant
2022-04-07
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Pfizer-BioNTech
2	2021-02-03	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-13

Systemic reaction (other): fascial tingling, feel uneasy

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Hearrburn

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Arthritis dupyutren contractires, myalgia joint pain and backache

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Severe eye pain

2021-10-02

Systemic reaction (other): Abd soreness, arthritis

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Dupytren contracture

Release 10 — day 28, dose 3

2021-10-28

Symptoms: Arthritis , pain in joints

Release 10 — day 35, dose 3

2021-11-04

Symptoms: Arthritis, myalgia and Dupytren contracure both ring fingers

Release 10 — day 42, dose 3

2021-11-11

Symptoms: My arthritis progressively getting worst, painful right and left shoulders, neck , back and all small joints of hands and toes of leg , got sprain on right neck muscles, dupytren getting worst will get surgery.

Healthcare visit (other): Schedule aptt

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: Arthritis worsening with D contracture. Diabetes worst myalgia worst. Fatigue

Healthcare visit (other): Dr. (b)(6) nurse took care

redacted (b)(6)

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: Arthritis and resp dyspnoea on exertion, myalgia, fatigue

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Arthritis	✓	·	✓
SD	Back pain	✓	·	✓
SD	Condition aggravated	·	·	✓
SD	Diabetes mellitus	·	·	✓
SD	Dupuytren's contracture	✓	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Fatigue	·	·	✓
SD	Muscle strain	·	·	✓
SD	Myalgia	✓	·	✓
SD	Neck pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Arthritis	·	·	✓
SRO	Dupuytren's contracture	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Eye pain	·	·	✓
SRO	Paraesthesia	✓	✓	✓

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