58W-22918-50885

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 547 / WI
Registered: 2021-05-04

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-05-04
Registered in v-safe
2021-05-04
Dose 1 — Pfizer-BioNTech
2021-05-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Neuropathy peripheral, Pain in extremity, Pre-existing disease — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Neurophothy in feet and hands is extra painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper — Feeling: Fair · Muscle or body aches, Nausea

Free text: Stomach ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Neuropathy peripheral — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hands & feet increased lack of feeling in both. ( Neuropathy)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Enhanced neuropathy in hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-25
Dose 2 — Pfizer-BioNTech
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Itching · Fatigue or tiredness, Diarrhea

Free text: Severe pain in right leg ....lasted 3 to four minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-29
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Pain in arm where I received the vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-01
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-06-08
Survey response — day 14, dose 2
MedDRA: Gait disturbance, Groin pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Deep groin pain prohibiting me from walking. Spent day and half immobilized and it disappeared.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-22
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Tiny sores above the knees Like mosquito bites but have not been outside.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — day 35, dose 2
MedDRA: Arthralgia, Musculoskeletal stiffness, Neck pain — Feeling: Good

Free text: Pain in right shoulder. Stiffness and pain in nap of the neck and middle upper vertebrae

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-04	Pfizer-BioNTech
2	2021-05-25	Pfizer-BioNTech

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-08

Systemic reaction (other): Neurophothy in feet and hands is extra painful

2021-05-09

Systemic reaction (other): Stomach ache

2021-05-10

Systemic reaction (other): Hands & feet increased lack of feeling in both. ( Neuropathy)

Release 8 — day 7, dose 1

2021-05-11

Systemic reaction (other): Enhanced neuropathy in hands and feet

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Severe pain in right leg ....lasted 3 to four minutes

2021-05-29

Systemic reaction (other): Pain in arm where I received the vaccination

Release 8 — day 14, dose 2

2021-06-08

Symptoms: Deep groin pain prohibiting me from walking. Spent day and half immobilized and it disappeared.

Release 9 — day 28, dose 2

2021-06-22

Symptoms: Tiny sores above the knees Like mosquito bites but have not been outside.

Release 9 — day 35, dose 2

2021-06-29

Symptoms: Pain in right shoulder. Stiffness and pain in nap of the neck and middle upper vertebrae

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	Gait disturbance	✓	✓	✓
SD	Groin pain	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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