4RK-13479-79654

2 vaccinations 13 coded responses 15 check-ins 13 free-text entries 2 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 107 / NY
Registered: 2021-03-28

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

2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-28
Registered in v-safe
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal faeces — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: My stool was just strange. Thin dark and Ive dedicated 3-4 times in 14 hrs time from when I received the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Arthralgia, Decreased appetite, Dyspnoea, Muscle spasms, Sleep disorder, Tachycardia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Im having joint pain, muscle cramping, stomach issues (started 6-8hrs after shot). Had breathing issues last night but not like asthma. I was having tachycardia when trying to sleep. Loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Arthralgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Still have very bad joint pain. Stomach is an issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Tachycardia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tachycardia. Normal BP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Muscle spasms, Oropharyngeal pain, Pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still getting terrible muscle spasms. Pain is paralyzing. Still have mild sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 7, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still having muscle spasms and cramps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 14, dose 2
MedDRA: Arthralgia, Myalgia, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle and joint pains are very bad. Other symptoms have passed. Eyes sight seem foggy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — day 21, dose 2
MedDRA: Arthralgia, Hyperaesthesia teeth, Muscle spasms, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still have joint and bad muscle pain. Muscles still going into spasms and cramping. Have developed teeth sensitivity to cold. Ive never had teeth sensitivity in my 63 years.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 28, dose 2
MedDRA: Arthralgia, Arthropathy, Eye disorder, Pre-existing disease, Vitreous floaters, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joints not getting better. Actually worse. Going to see orthopedic Eyes having issues. Developing floaters in eyes. Going to see eye doctor. Losing a little weight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-27
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Hypersensitivity, Muscle rupture, Muscle spasms, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Joint pains never went away. Muscles still having severe spasms and tearing. Had terrible allergies for first time in 15 years. · Healthcare visit (other): General practitioner and orthopedic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Call successful
Does not wish to fill out VAERS report
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Drug tolerance decreased, Glaucoma, Office visit, Pre-existing disease — Feeling: Good · 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, Hospitalization

Free text: Symptoms: Since shots my glaucoma has gotten worse. Doctors believe I developed a immune response to to medication (drops). And my joint pains have continued. · Healthcare visit (other): Eye doctor appointments.

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Report sent to call center — 6 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 · Hospitalization · 1 call case(s)
2021-09-29
Call 1 — Could Not Reach Participant
2021-10-04
Call successful
Does not wish to fill out VAERS report
2022-03-28
Survey response — 12 months, dose 2
MedDRA: Adverse drug reaction, Arthralgia, Blindness, Cataract, Eye disorder, Immune system disorder, Myalgia, Pre-existing disease — Feeling: Fair · Be unable to work or attend school

Free text: Still have very bad joint and muscle pain. I have had a bad immune response to the booster too. My immune system is attacking my eyes and reacting with my glaucoma meds stopped working. It's causing rapidly advancing cataracts & accelerated blindne

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): My stool was just strange. Thin dark and Ive dedicated 3-4 times in 14 hrs time from when I received the shot

2021-03-29

Systemic reaction (other): Im having joint pain, muscle cramping, stomach issues (started 6-8hrs after shot). Had breathing issues last night but not like asthma. I was having tachycardia when trying to sleep. Loss of appetite.

2021-03-30

Systemic reaction (other): Still have very bad joint pain. Stomach is an issue.

2021-03-31

Systemic reaction (other): Tachycardia. Normal BP.

2021-04-01

Systemic reaction (other): Sore throat.

2021-04-02

Systemic reaction (other): Still getting terrible muscle spasms. Pain is paralyzing. Still have mild sore throat.

Release 6 — day 7, dose 2

2021-04-03

Systemic reaction (other): Still having muscle spasms and cramps.

Release 7 — day 14, dose 2

2021-04-10

Symptoms: Muscle and joint pains are very bad. Other symptoms have passed. Eyes sight seem foggy.

Release 7 — day 21, dose 2

2021-04-18

Symptoms: Still have joint and bad muscle pain. Muscles still going into spasms and cramping. Have developed teeth sensitivity to cold. Ive never had teeth sensitivity in my 63 years.

Release 7 — day 28, dose 2

2021-04-24

Symptoms: Joints not getting better. Actually worse. Going to see orthopedic Eyes having issues. Developing floaters in eyes. Going to see eye doctor. Losing a little weight.

Release 9 — 3 months, dose 2

2021-06-27

Symptoms: Joint pains never went away. Muscles still having severe spasms and tearing. Had terrible allergies for first time in 15 years.

Healthcare visit (other): General practitioner and orthopedic

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Since shots my glaucoma has gotten worse. Doctors believe I developed a immune response to to medication (drops). And my joint pains have continued.

Healthcare visit (other): Eye doctor appointments.

Release 11 — 12 months, dose 2

2022-03-28

Symptoms: Still have very bad joint and muscle pain. I have had a bad immune response to the booster too. My immune system is attacking my eyes and reacting with my glaucoma meds stopped working. It's causing rapidly advancing cataracts & accelerated blindne cut off by CDC

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	Adverse drug reaction	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Arthropathy	·	·	✓
SD	Blindness	·	·	✓
SD	Cataract	·	·	✓
SD	Drug tolerance decreased	·	·	✓
SD	Eye disorder	·	·	✓
SD	Glaucoma	·	·	✓
SD	Hyperaesthesia teeth	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Immune system disorder	·	·	✓
SD	Muscle rupture	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Vitreous floaters	✓	✓	✓
SD	Weight decreased	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abnormal faeces	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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