59N-19974-68544

4 vaccinations 8 coded responses 47 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 201 / VA
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Ongoing nerve sciatica since early December; high level of pain; awaiting surgery. Fourth epidural was two days prior to first vaccine. Started gabapentin yesterday.

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: Sciatica — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Again major sciatic pain but nothing I relate to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Sciatica — Feeling: Good

Free text: Sciatica

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth — Feeling: Good

Free text: Drier mouth but also started 900mg of gabapentin per day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Stopped gabapentin; started methylprednisolone pac

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-04
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Self-medication — Feeling: Good · Site: Pain

Free text: Unrelated Lower back pain. Took 600mg IBUPROFEN yesterday evening.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Injection site pain, Muscle strain, Myalgia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Lower back pain from strained back. Arm soreness from injection site improving; some muscle pain extended into pecs. I did not have this during the first or second dose.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Survey response — day 7, dose 3
MedDRA: Back pain — Feeling: Good

Free text: Lower back pain that started prior to booster.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-04-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-08
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-04-08	Pfizer-BioNTech	No

Free text

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): Ongoing nerve sciatica since early December; high level of pain; awaiting surgery. Fourth epidural was two days prior to first vaccine. Started gabapentin yesterday.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Again major sciatic pain but nothing I relate to the vaccine.

2021-04-03

Systemic reaction (other): Sciatica

2021-04-05

Systemic reaction (other): Drier mouth but also started 900mg of gabapentin per day.

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Stopped gabapentin; started methylprednisolone pac

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Unrelated Lower back pain. Took 600mg IBUPROFEN yesterday evening.

2021-10-06

Systemic reaction (other): Lower back pain from strained back. Arm soreness from injection site improving; some muscle pain extended into pecs. I did not have this during the first or second dose.

Release 10 — day 7, dose 3

2021-10-11

Systemic reaction (other): Lower back pain that started prior to booster.

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
SRO	Back pain	·	·	✓
SRO	Dry mouth	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Muscle strain	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sciatica	✓	✓	✓
SRO	Self-medication	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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