58Y-12907-21502
2 vaccinations
2 coded responses
17 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 380 / TN
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-21
- 2020-12-22
- 2020-12-27
- 2020-12-28
- 2021-01-04
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-11
-
2021-01-12
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Gout, Pre-existing disease — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Likely gout flare (left 1st toe IP joint) onset about 16hrs after vaccine administration. May be unrelated. · Healthcare visit (other): Only seeking care for presumed severe gout pain (which may be unrelated to the vaccination), not the other symptoms which are more likely to be related to the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-14
Survey response — days 1–6 daily, dose 2MedDRA: Gout, Office visit — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): The joint pain is gout related which started about 16hrs after the vaccine administration. May be unrelated though. · Healthcare visit (other): Got gout meds from PCP.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-15
- 2021-01-18
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-04-12
- 2021-07-12
- 2022-01-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Likely gout flare (left 1st toe IP joint) onset about 16hrs after vaccine administration. May be unrelated.
Healthcare visit (other): Only seeking care for presumed severe gout pain (which may be unrelated to the vaccination), not the other symptoms which are more likely to be related to the vaccination.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): The joint pain is gout related which started about 16hrs after the vaccine administration. May be unrelated though.
Healthcare visit (other): Got gout meds from PCP.
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 | Adverse reaction | ✓ | ✓ | ✓ |
| HCVO | Gout | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SRO | Gout | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release