64P-24378-50291

4 vaccinations 11 coded responses 39 check-ins 10 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 654 / MO
Registered: 2021-01-28

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

Timeline

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

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Pfizer-BioNTech
2021-01-28
Survey response — day 0, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain

Free text: No new symptoms (chronic pain and other symptoms continuing)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Joint pains

Free text: Injection site pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Pfizer-BioNTech
2021-02-18
Survey response — day 0, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Good · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Joint & muscle pain due to on-going chronic acute medical conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Poor · Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-03-11
Survey response — day 21, dose 2
MedDRA: High frequency ablation, Pre-existing disease, Spinal pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Spinal pain (on-going issues) · Healthcare visit (other): Bi-lateral cervical spine radial ablation

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

1 call case(s)
2021-03-18
Survey response — day 28, dose 2
MedDRA: Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Increased pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 35, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Poor · Be unable to work, 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: NOT vaccine related per my pain specialist.Needle-like pain from my clavicles to the bottom of my scapulas. Per specialist, was masked by pain resolved by c-spine radial ablation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 42, dose 2
MedDRA: Medical counselling, Musculoskeletal pain, Spinal pain — Feeling: Poor · Be unable to work, 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: Per my pain specialist, NOT vaccine issue. Escalating pain from mid c-spine to bottom of scapulas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-15
Call 1 — Left Voicemail
2021-08-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Dose 3 — Pfizer-BioNTech
2022-02-18
Survey response — 12 months, dose 2
MedDRA: Arrhythmia, Cardiac murmur, Extrasystoles — Feeling: Good

Free text: Skipping heart beat (new arrhythmia) & 2 new heart murmurs.

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
Dose 4 — Pfizer-BioNTech
2022-08-19
Survey response — days 1–6 daily, dose 4
MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches

Free text: Severe congestion since 2000CST last night

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-08-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-09-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-17
Survey response — 3 months, dose 4
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities

Free text: Covid, asymptomatic (boyfriend was symptomatic so we both tested positive. He really suffered for not getting vaccinated!)

MedDRA releases: 2024-11 · check-in free text available
2023-02-16
Survey response — 6 months, dose 4
MedDRA: Cataract, Retinal detachment, Retinopathy — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-18	Pfizer-BioNTech
3	2021-10-07	Pfizer-BioNTech	No
4	2022-08-18	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-28

Systemic reaction (other): No new symptoms (chronic pain and other symptoms continuing)

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Injection site pain

Release 4 — day 0, dose 2

2021-02-18

Systemic reaction (other): Joint & muscle pain due to on-going chronic acute medical conditions

Release 5 — day 21, dose 2

2021-03-11

Symptoms: Spinal pain (on-going issues)

Healthcare visit (other): Bi-lateral cervical spine radial ablation

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Increased pain

Release 6 — day 35, dose 2

2021-03-25

Symptoms: NOT vaccine related per my pain specialist.Needle-like pain from my clavicles to the bottom of my scapulas. Per specialist, was masked by pain resolved by c-spine radial ablation.

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Per my pain specialist, NOT vaccine issue. Escalating pain from mid c-spine to bottom of scapulas.

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Skipping heart beat (new arrhythmia) & 2 new heart murmurs.

Release 12 — days 1–6 daily, dose 4

2022-08-19

Systemic reaction (other): Severe congestion since 2000CST last night

Release 12 — 3 months, dose 4

2022-11-17

Symptoms: Covid, asymptomatic (boyfriend was symptomatic so we both tested positive. He really suffered for not getting vaccinated!)

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	High frequency ablation	✓	✓	✓
SD	Arrhythmia	·	·	✓
SD	Cardiac murmur	·	·	✓
SD	Cataract	·	·	✓
SD	COVID-19	·	·	✓
SD	Extrasystoles	·	·	✓
SD	Medical counselling	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Retinal detachment	·	·	✓
SD	Retinopathy	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Spinal pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓

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