6FL-10120-72674

3 vaccinations 6 coded responses 27 check-ins 6 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 010 / MA
Registered: 2021-02-02

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

Timeline

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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-02
Health check-in — day 0, 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 — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-18
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Moderate to severe pain in left leg. Pain is from hip to foot at different times in different sections of the leg. Never is the pain continuously at the same time over the entire length of the leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-23
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Physiotherapy, Sciatica — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Sciatica? · Healthcare visit (other): Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Survey response — day 7, dose 2
MedDRA: Physiotherapy — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Survey response — day 14, dose 2
MedDRA: Office visit, Pain in extremity — Feeling: Poor · 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: Symptoms: Excruciating pain in left leg. Will have an MRI on Friday. · Healthcare visit (other): Spinal specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Joint swelling, Pain in extremity, Peripheral swelling — Feeling: Fair

Free text: Pain in left leg extending from hip/buttock down to foot. Swelling of left ankle, left foot and lower left calf.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-06
Call 1 — Could Not Reach Participant
2021-08-12
Call successful
Participant prefers to complete VAERS report online
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-12-30
Dose 3 — Moderna
2022-02-27
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-01
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-30
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-02
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech
3	2021-12-30	Moderna	No

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Shortness of breath

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Moderate to severe pain in left leg. Pain is from hip to foot at different times in different sections of the leg. Never is the pain continuously at the same time over the entire length of the leg.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Sciatica?

Healthcare visit (other): Physical therapy

Release 4 — day 7, dose 2

2021-03-02

Healthcare visit (other): Physical therapy

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Excruciating pain in left leg. Will have an MRI on Friday.

Healthcare visit (other): Spinal specialist

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Pain in left leg extending from hip/buttock down to foot. Swelling of left ankle, left foot and lower left calf.

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	Joint swelling	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Sciatica	✓	✓	✓

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