YGT-17828-57606

3 vaccinations 8 coded responses 22 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 018 / MA
Registered: 2021-04-21

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

2021-03-27
Dose 1 — Pfizer-BioNTech
2021-04-17
Dose 2 — Pfizer-BioNTech
2021-04-21
Registered in v-safe
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain in left knee. Site of previous injury from 8 years ago. Had been pain free for 5-6 years.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Left knee pain still present. Stamina is not what it was last year..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-17
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-16
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Hypertension, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hypertension, muscle and joint aches

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-20
Call 2 — Left Voicemail
2021-11-30
Dose 3 — Moderna
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Poor · Site: Pain · Be unable to do your normal daily activities

Free text: Mental fog

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Fair · Site: Pain

Free text: Mental fog

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-28
Survey response — day 28, dose 3
MedDRA: Arthralgia, Fatigue, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, 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: Congested, fever, sore throat, headache, fatigue, joint pain. Tested negative for Covid on quidel at home test. Also had flu shot in October.

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — day 28, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-11
Survey response — day 42, dose 3
MedDRA: Blood pressure increased — Feeling: Good

Free text: Blood pressure increased again. Back to 160/100. Was down to 130/80 with medication.

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Survey response — 6 months, dose 3
MedDRA: Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stage 2 hypertension

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-03
Call 1 — Left Voicemail
2022-06-03
Call 1 — Left Voicemail
2022-06-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Pfizer-BioNTech
2	2021-04-17	Pfizer-BioNTech
3	2021-11-30	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-16	Unsuccessful
2021-12-28	Successful 2021-12-29	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-02	Unsuccessful

Free text

Release 8 — day 21, dose 2

2021-05-08

Symptoms: Joint pain in left knee. Site of previous injury from 8 years ago. Had been pain free for 5-6 years.

Release 8 — day 35, dose 2

2021-05-22

Symptoms: Left knee pain still present. Stamina is not what it was last year..

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: Hypertension, muscle and joint aches

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): Mental fog

2021-12-03

Systemic reaction (other): Mental fog

Release 10 — day 28, dose 3

2021-12-28

Symptoms: Congested, fever, sore throat, headache, fatigue, joint pain. Tested negative for Covid on quidel at home test. Also had flu shot in October.

Release 10 — day 42, dose 3

2022-01-11

Symptoms: Blood pressure increased again. Back to 160/100. Was down to 130/80 with medication.

Release 11 — 6 months, dose 3

2022-06-02

Symptoms: Stage 2 hypertension

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	Blood pressure increased	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypertension	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Brain fog	·	·	✓

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