YNK-26981-02299

2 vaccinations 9 coded responses 12 check-ins 9 free-text entries 6 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 954 / CA
Registered: 2021-04-24

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-24
Registered in v-safe
2021-04-24
Dose 1 — Pfizer-BioNTech
2021-04-24
Survey response — day 0, dose 1
MedDRA: Vision blurred, Visual acuity reduced — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Blurry vision and reduced acuity in sight mid to long distance. Persisted all day so far and was relatively immediate after shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Headache, Influenza like illness, Oedema peripheral, Pre-existing disease, Pruritus — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I have really poor circulation and a sudden onset of edema, especially in my ankle and foot on the same side I got the shot today. Its manageable, but extremely unusual for me - probably related to the shot as it seems I had a mild reaction overnight with common symptoms flu like type - but the persistent headache, slightly histamine-like activation as if this was a bad, non localized symptoms from a common mild allergy - akin to someone stronger than normal showing signs of immune response to a bee sting or mild food allergy provoked some inadvertent ingestion. Its an oddity for me and probably never experienced anything close to this ever before, and temporally it began after 24 hours but before 48 hours of the administration of the vaccine. The overall expected symptoms havent been too bothersome, but as they wanted this substantial edema and overall itching and hazy, foggy minded state akin to allergy have been sudden and not explainable by any other cause I can imagine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Muscular cramping in left hamstring woke me from deep sleep and was so painful I cried until my roommate helped stretch the muscle out. This is the second instance (previous night that left forearm muscle to a moderate degree and left calve muscle also in a significant way woke me up and were not resolvable until the muscle was sprayed with magnesium and deep kneeling and stretching relieved the contractions. This is all on same side as shot, but Ive had the calve cramping several times before and it may be due to my bodys poor eloctrolyte and volumetric stasis in the brain as Ive entered chronic phase recovery from moderate TBI and these are the symptoms increasingly severe this past year and yielding high copper, high ferritin, elevated liver enzymes, and 78% neutrophils with no immature granulocyctes and seemingly aberrant (for me) but within normal lower end reference ranges on most levels.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Office visit — Feeling: Good · Site: Swelling · 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

Free text: Systemic reaction (other): Foggy headed - as if Ive skipped morning coffee. This started with the shot and stayed all week now. Swelling is down and most recognizable symptoms abated within four days or less. · Healthcare visit (other): Had to cancel clinic visit FU last minute and messaged doc for advice.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
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)
2021-05-01
Survey response — day 7, dose 1
MedDRA: Oedema, Unevaluable event — Feeling: Fair · 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

Free text: Systemic reaction (other): Edema continues · Healthcare visit (other): Transcranial direct current and EEG biofeedback for energy issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 7, 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)
2021-05-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 21, dose 1
MedDRA: Gait disturbance, Muscle injury, Muscle spasms — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: Intense, painful cramping in calve, forearm, and hamstring - so bad it tore my left hamstring lightly but serious enough to limp for a few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 21, 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)
2021-05-23
Dose 2 — Pfizer-BioNTech
2021-06-01
Survey response — day 7, dose 2
MedDRA: Arthralgia, Discomfort, Hypoaesthesia, Joint range of motion decreased, Joint swelling, Medical counselling, Oedema, Pain, Pain in extremity, Paraesthesia — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Systemic reaction (other): Gradual reduction in the severe edema and peripheral vascular symptoms in ankles and intense pain in foot upon rotation on front crease of ankle at tendon and bone junction, probably due to pressure of swelling. Numbness, tingling in hands and legs · Healthcare visit (other): Texted photos to doc to check if symptoms actually side effect of lamotrigine or other meds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — day 7, dose 2
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)
2021-06-06
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-06-13
Survey response — day 21, dose 2
MedDRA: Confusional state, Memory impairment, Mood altered, Occupational therapy, Office visit, Peripheral arterial occlusive disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: Shots coincided with sudden ankle/leg based peripheral artery disease symptoms in 34 yr male. No hx. Vasculitis, brown bruises, calves spasm (cmc+CBC x 2 = 80% neutrophil, >ABS; <RBC and size morphology; >transferrin, >iron+copper sat.; 0 retic; 0 eu · Healthcare visit (other): Bought suggested herbs and vitamins and compression clothing per doc. Went to uncovered provider for neuropsych eval. Due to confusion and memory and mood changes. Have home occupational therapist do 2-4 hours per day to assist with ADL; independen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Report sent to call center — day 21, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-06-21
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Call 2 — Left Voicemail
2021-07-04
Survey response — day 42, dose 2
MedDRA: Ankle fracture, Arthralgia, Cardiovascular symptom, Muscle spasms, Office visit, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Radiology revealed need for ankle ultrasound or further diagnostic imaging because both ankles show vascular symptoms but the one in pain is fractured, probably from the intense calf cramping Ive had worsen. Labs for kidney and blood issues improv · Healthcare visit (other): Radiology; orthopedics& referal back to do more imaging of soft tissue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-04
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-09
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Pfizer-BioNTech
2	2021-05-23	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-30	Unsuccessful
2021-05-01	Unsuccessful
2021-05-18	Unsuccessful
2021-06-01	Unsuccessful
2021-06-13	Unsuccessful
2021-07-04	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-24

Systemic reaction (other): Blurry vision and reduced acuity in sight mid to long distance. Persisted all day so far and was relatively immediate after shot.

Release 7 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): I have really poor circulation and a sudden onset of edema, especially in my ankle and foot on the same side I got the shot today. Its manageable, but extremely unusual for me - probably related to the shot as it seems I had a mild reaction overnight with common symptoms flu like type - but the persistent headache, slightly histamine-like activation as if this was a bad, non localized symptoms from a common mild allergy - akin to someone stronger than normal showing signs of immune response to a bee sting or mild food allergy provoked some inadvertent ingestion. Its an oddity for me and probably never experienced anything close to this ever before, and temporally it began after 24 hours but before 48 hours of the administration of the vaccine. The overall expected symptoms havent been too bothersome, but as they wanted this substantial edema and overall itching and hazy, foggy minded state akin to allergy have been sudden and not explainable by any other cause I can imagine.

Release 8 — days 1–6 daily, dose 1

2021-04-29

Systemic reaction (other): Muscular cramping in left hamstring woke me from deep sleep and was so painful I cried until my roommate helped stretch the muscle out. This is the second instance (previous night that left forearm muscle to a moderate degree and left calve muscle also in a significant way woke me up and were not resolvable until the muscle was sprayed with magnesium and deep kneeling and stretching relieved the contractions. This is all on same side as shot, but Ive had the calve cramping several times before and it may be due to my bodys poor eloctrolyte and volumetric stasis in the brain as Ive entered chronic phase recovery from moderate TBI and these are the symptoms increasingly severe this past year and yielding high copper, high ferritin, elevated liver enzymes, and 78% neutrophils with no immature granulocyctes and seemingly aberrant (for me) but within normal lower end reference ranges on most levels.

2021-04-30

Systemic reaction (other): Foggy headed - as if Ive skipped morning coffee. This started with the shot and stayed all week now. Swelling is down and most recognizable symptoms abated within four days or less.

Healthcare visit (other): Had to cancel clinic visit FU last minute and messaged doc for advice.

Release 8 — day 7, dose 1

2021-05-01

Systemic reaction (other): Edema continues

Healthcare visit (other): Transcranial direct current and EEG biofeedback for energy issues

Release 8 — day 21, dose 1

2021-05-18

Symptoms: Intense, painful cramping in calve, forearm, and hamstring - so bad it tore my left hamstring lightly but serious enough to limp for a few days.

Release 8 — day 7, dose 2

2021-06-01

Systemic reaction (other): Gradual reduction in the severe edema and peripheral vascular symptoms in ankles and intense pain in foot upon rotation on front crease of ankle at tendon and bone junction, probably due to pressure of swelling. Numbness, tingling in hands and legs

Healthcare visit (other): Texted photos to doc to check if symptoms actually side effect of lamotrigine or other meds

Release 9 — day 21, dose 2

2021-06-13

Symptoms: Shots coincided with sudden ankle/leg based peripheral artery disease symptoms in 34 yr male. No hx. Vasculitis, brown bruises, calves spasm (cmc+CBC x 2 = 80% neutrophil, >ABS; <RBC and size morphology; >transferrin, >iron+copper sat.; 0 retic; 0 eu cut off by CDC

Healthcare visit (other): Bought suggested herbs and vitamins and compression clothing per doc. Went to uncovered provider for neuropsych eval. Due to confusion and memory and mood changes. Have home occupational therapist do 2-4 hours per day to assist with ADL; independen cut off by CDC

Release 9 — day 42, dose 2

2021-07-04

Symptoms: Radiology revealed need for ankle ultrasound or further diagnostic imaging because both ankles show vascular symptoms but the one in pain is fractured, probably from the intense calf cramping Ive had worsen. Labs for kidney and blood issues improv

Healthcare visit (other): Radiology; orthopedics& referal back to do more imaging of soft tissue.

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	Confusional state	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Memory impairment	✓	✓	✓
HCVO	Mood altered	✓	✓	✓
HCVO	Occupational therapy	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Ankle fracture	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cardiovascular symptom	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Muscle injury	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Peripheral arterial occlusive disease	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oedema	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Vision blurred	✓	✓	✓
SRO	Visual acuity reduced	✓	✓	✓

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