Y36-29873-52381

1 vaccination 8 coded responses 13 check-ins 8 free-text entries 7 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 158 / PA
Registered: 2021-01-06

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

2021-01-05
Dose 1 — Pfizer-BioNTech
2021-01-06
Registered in v-safe
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Heart rate increased, Hemiparesis, Hypoaesthesia — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: My arms and hands are numb. My whole left side is weak. And I've been incredibly dizzy. Increased heart rate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Muscular weakness, Spinal pain — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · 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: Numbness and weakness in my arms, and left side. My whole spine aches if I twist. It's hard to sit up and stand up,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Dyspnoea, Fatigue — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: I'm still having trouble with balance and walking, and the more I go, the worse it gets, and I get extremely fatigued and short of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness postural, Gait disturbance — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · 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: Still a lot of dizziness when I stand up, and difficulty walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Dizziness, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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: Still get dizzy and unsteady while standing & walking, but the pain is less.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-12
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Survey response — day 21, dose 1
MedDRA: Arthralgia, Memory impairment — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My left shoulder has had a lot of pain, and Im having memory issues, that havent seemed to improve since getting the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Survey response — day 28, dose 1
MedDRA: Arthralgia, Cognitive disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: My left shoulder has been in a lot of pain, and Im having cognitive issues, trying to remember names of people I know & common objects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Call 1 — Left Voicemail
2021-02-10
Survey response — day 35, dose 1
MedDRA: Arthritis, Balance disorder, Fatigue, Myositis, Spinal disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: My joints and muscle tissue are becoming more inflamed again. Im becoming more and more fatigued. My spine feels like jelly again, and Im feeling unsteady while standing and walking again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-07-07
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-06	Unsuccessful
2021-01-07	Unsuccessful
2021-01-08	Unsuccessful
2021-01-09	Unsuccessful
2021-01-10	Unsuccessful
2021-01-11	Unsuccessful
2021-01-27	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): My arms and hands are numb. My whole left side is weak. And I've been incredibly dizzy. Increased heart rate.

2021-01-08

Systemic reaction (other): Numbness and weakness in my arms, and left side. My whole spine aches if I twist. It's hard to sit up and stand up,

2021-01-09

Systemic reaction (other): I'm still having trouble with balance and walking, and the more I go, the worse it gets, and I get extremely fatigued and short of breath.

2021-01-10

Systemic reaction (other): Still a lot of dizziness when I stand up, and difficulty walking.

2021-01-11

Systemic reaction (other): Still get dizzy and unsteady while standing & walking, but the pain is less.

Release 2 — day 21, dose 1

2021-01-27

Symptoms: My left shoulder has had a lot of pain, and Im having memory issues, that havent seemed to improve since getting the first shot.

Release 3 — day 28, dose 1

2021-02-02

Symptoms: My left shoulder has been in a lot of pain, and Im having cognitive issues, trying to remember names of people I know & common objects.

Release 4 — day 35, dose 1

2021-02-10

Symptoms: My joints and muscle tissue are becoming more inflamed again. Im becoming more and more fatigued. My spine feels like jelly again, and Im feeling unsteady while standing and walking again.

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
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Cognitive disorder	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Myositis	✓	✓	✓
SD	Spinal disorder	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hemiparesis	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Spinal pain	✓	✓	✓

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