Y43-74463-29316
3 vaccinations
7 coded responses
34 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 532 / WI
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Pfizer-BioNTech
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Back pain — Feeling: GoodFree text: I normally have shoulder and lower back pain,not attributable to this vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: None, other than my regular shoulder and lower back pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
-
2021-03-23
Survey response — day 21, dose 1MedDRA: Back pain, Pre-existing disease, Procedural pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lower lumbar back pain since Saturday. I had laminectomy surgery October 2019 and the pain is in that area. I cant attribute this to my vaccine though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Dose 2 — Pfizer-BioNTech
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-06-23
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosis of degenerative slipping disc past month, lower lumbar. Transforaminal injection July 13. Presently on antibiotics for cellulitis infection right eye areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-23
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-29
- 2021-09-22
-
2021-12-28
Dose 3 — Pfizer-BioNTech
- 2021-12-28
-
2021-12-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-12-30
- 2021-12-31
- 2022-01-01
- 2022-01-02
- 2022-01-03
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-01-25
- 2022-02-01
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2022-02-08
Survey response — day 42, dose 3MedDRA: Back pain — Feeling: FairFree text: My constant lower lumbar back pain, but I don't know if it is related to any of my 3 vaccinations.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-29
-
2022-06-28
Survey response — 6 months, dose 3MedDRA: Groin pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Same lower right lumbar issues and now right groin pain.MedDRA releases: 2024-11 · check-in free text available
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2022-12-28
Survey response — 12 months, dose 3MedDRA: Influenza, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Flu · Healthcare visit (other): Pharmacist and message to my doctorMedDRA releases: 2024-11 · check-in free text available
-
2022-12-28
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2021-12-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-23 | Unsuccessful | |
| 2022-12-28 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I normally have shoulder and lower back pain,not attributable to this vaccine.
Systemic reaction (other): None, other than my regular shoulder and lower back pain.
Release 6 — day 21, dose 1
Symptoms: Lower lumbar back pain since Saturday. I had laminectomy surgery October 2019 and the pain is in that area. I cant attribute this to my vaccine though.
Release 9 — 3 months, dose 2
Symptoms: Diagnosis of degenerative slipping disc past month, lower lumbar. Transforaminal injection July 13. Presently on antibiotics for cellulitis infection right eye area
Release 11 — day 42, dose 3
Symptoms: My constant lower lumbar back pain, but I don't know if it is related to any of my 3 vaccinations.
Release 12 — 6 months, dose 3
Symptoms: Same lower right lumbar issues and now right groin pain.
Release 12 — 12 months, dose 3
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 | Medical counselling | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Groin pain | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Procedural pain | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release