6TT-21591-43520

4 vaccinations 10 coded responses 32 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 920 / CA
Registered: 2021-02-15

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

2021-02-14
Dose 1 — Pfizer-BioNTech
2021-02-15
Registered in v-safe
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: calf muscle cramp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-21
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-08
Dose 2 — Pfizer-BioNTech
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 35, dose 2
MedDRA: Arthralgia, Condition aggravated, Joint swelling, Peripheral swelling, Pre-existing disease — Feeling: Good

Free text: Don't know if related but I've had some minor joint pain swelling in fingers. A previous back issue has worsened and knee swelling and pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 42, dose 2
MedDRA: Chest pain, Musculoskeletal chest pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I continue to experience chest cavity upper ribs pain with movement sometimes with breaths. No pain with hand pressure on area. · Healthcare visit (other): Normal doc. Visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2022-03-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-18
Dose 4 — Pfizer-BioNTech
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Vaccine or maybe food poisoning

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Think I had food poisoning

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Food poisoning — Feeling: Fair · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Had food poisoning day after shot

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Food poisoning — Feeling: Fair · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Had food poisoning day after shor

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Food poisoning — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Free text: Recent food poisoning

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — day 7, dose 4
MedDRA: Food poisoning — Feeling: Fair · Abdominal pain

Free text: Food poisoning

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-04
Call 1 — Left Voicemail
2022-05-05
Call successful
Participant prefers to complete VAERS report online
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-17
Survey response — 6 months, dose 4
MedDRA: Arthralgia — Feeling: Fair

Free text: Since shots have had elbow joint pain in shot arm. Not severe but noticeable

MedDRA releases: 2024-11 · check-in free text available
2023-04-20
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Pfizer-BioNTech
2	2021-03-08	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-04-18	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): calf muscle cramp

Release 7 — day 35, dose 2

2021-04-12

Symptoms: Don't know if related but I've had some minor joint pain swelling in fingers. A previous back issue has worsened and knee swelling and pain.

Release 7 — day 42, dose 2

2021-04-19

Symptoms: I continue to experience chest cavity upper ribs pain with movement sometimes with breaths. No pain with hand pressure on area.

Healthcare visit (other): Normal doc. Visit

Release 11 — days 1–6 daily, dose 4

2022-04-20

Systemic reaction (other): Vaccine or maybe food poisoning

2022-04-21

Systemic reaction (other): Think I had food poisoning

2022-04-22

Systemic reaction (other): Had food poisoning day after shot

2022-04-23

Systemic reaction (other): Had food poisoning day after shor

2022-04-24

Systemic reaction (other): Recent food poisoning

Release 11 — day 7, dose 4

2022-04-25

Systemic reaction (other): Food poisoning

Release 12 — 6 months, dose 4

2022-10-17

Symptoms: Since shots have had elbow joint pain in shot arm. Not severe but noticeable

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	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Food poisoning	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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