5BW-29048-58314

3 vaccinations 9 coded responses 13 check-ins 9 free-text entries 9 call cases

Sex: —
Age at first dose: 56-60
ZIP prefix: 452 / OH
Registered: 2021-03-04

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

2021-01-30
Dose 1 — Pfizer-BioNTech
2021-02-27
Dose 2 — Pfizer-BioNTech
2021-03-04
Registered in v-safe
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Physical therapy and Chiropractic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-20
Survey response — day 21, dose 2
MedDRA: Arthralgia, Mobility decreased, Pain in extremity, Physiotherapy — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Severe joint pain has returnedThe pain in my upper arm continues and has impaired my mobility. · Healthcare visit (other): Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Survey response — day 28, dose 2
MedDRA: Arthralgia, Loss of personal independence in daily activities, Mobility decreased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shoulder pain that impedes my range of motion and makes it difficult to get dressed, open doors, and carry anything. Hip pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — day 35, dose 2
MedDRA: Arthralgia, Joint range of motion decreased, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shoulder still hurts. Range of motion is still impeded. Sudden movements or weigh-bearing activities cause pain. Effects my neck and shoulder also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — day 42, dose 2
MedDRA: Arthralgia, Physiotherapy, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: The pain continues and is in every compromised joint Ive ever had. I need physical therapy twice a week, bi-weekly massages, and daily work on myself for 30-45 minutes daily. Ive also had an MRI in the past week This has become VERY expensive. · Healthcare visit (other): MRI, Massage, PT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lymph node lump/pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call 1 — Left Voicemail
2021-06-10
Call 1 — Left Voicemail
2021-06-10
Call 1 — Left Voicemail
2021-06-10
Call 1 — Left Voicemail
2021-06-10
Call 1 — Left Voicemail
2021-06-10
Call 1 — Left Voicemail
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Neoplasm malignant, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization

Free text: Continued shoulder pain- PT 3x a weekCancer diagnosis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-12
Dose 3 — Pfizer-BioNTech
2022-03-06
Survey response — 12 months, dose 2
MedDRA: Injected limb mobility decreased, Neoplasm malignant — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: 1. Impeded mobility in the arm I received the booster in. 2. Cancer

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-08
Call successful
Does not wish to fill out VAERS report
2022-07-13
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Dyspnoea exertional, Loss of personal independence in daily activities — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Difficulty breathing, can't carry anything more than 5 pounds without having to recover for 10 minutes, really don't have to do anything because it's too much just to exist

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-14
Call 2 — Left Voicemail
2022-07-14
Call 2 — Left Voicemail
2022-07-14
Call 2 — Left Voicemail
2022-07-14
Call 2 — Left Voicemail
2022-07-14
Call 2 — Left Voicemail
2022-07-14
Call 2 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2023-01-14
Health check-in — 12 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-27	Pfizer-BioNTech
3	2022-01-12	Pfizer-BioNTech	No

Call center

9 call center cases

8 successful · 1 unsuccessful

VAERS report filed, before or during a call: 7

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-04

Healthcare visit (other): Physical therapy and Chiropractic visit

Release 6 — day 21, dose 2

2021-03-20

Symptoms: Severe joint pain has returnedThe pain in my upper arm continues and has impaired my mobility.

Healthcare visit (other): Physical therapy

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Shoulder pain that impedes my range of motion and makes it difficult to get dressed, open doors, and carry anything. Hip pain

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Shoulder still hurts. Range of motion is still impeded. Sudden movements or weigh-bearing activities cause pain. Effects my neck and shoulder also.

Release 7 — day 42, dose 2

2021-04-10

Symptoms: The pain continues and is in every compromised joint Ive ever had. I need physical therapy twice a week, bi-weekly massages, and daily work on myself for 30-45 minutes daily. Ive also had an MRI in the past week This has become VERY expensive.

Healthcare visit (other): MRI, Massage, PT

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Lymph node lump/pain

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Continued shoulder pain- PT 3x a weekCancer diagnosis

Release 11 — 12 months, dose 2

2022-03-06

Symptoms: 1. Impeded mobility in the arm I received the booster in. 2. Cancer

Release 12 — 6 months, dose 3

2022-07-13

Symptoms: Difficulty breathing, can't carry anything more than 5 pounds without having to recover for 10 minutes, really don't have to do anything because it's too much just to exist

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	Physiotherapy	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Injected limb mobility decreased	·	·	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Neoplasm malignant	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Physiotherapy	✓	·	✓
SD	Pre-existing disease	✓	✓	✓

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