YT9-30105-56363

4 vaccinations 10 coded responses 41 check-ins 9 free-text entries 3 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 064 / CT
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Survey response — day 0, dose 1
MedDRA: Flushing — Feeling: Good

Free text: Slight feeling of being flushed in the face, not bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Site: Pain

Free text: My arthritis is bothersome, but I havent taken any Tylenol for the last week and will hold off until two weeks after my second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in armpit on side I got the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Tenderness — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still sore and tender under armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Soreness under the arm where I got the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Sore under the arm where I got the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Good

Free text: Arthritis seems worse, especially in my hands where Ive not experienced it before. Doubt its related to the vaccine, rather likely due to some recent increase in lifting activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Pfizer-BioNTech
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 21, dose 3
MedDRA: Dyspnoea exertional, Fatigue, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tired and out of breath on exertion. Covid test was negative.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-13
Call 1 — Requested Callback
2021-12-13
Callback requested for
04:13PM ET
2021-12-13
Call successful
Participant prefers to complete VAERS report online
2021-12-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-20
Survey response — 3 months, dose 3
MedDRA: Coronary arterial stent insertion, Coronary artery occlusion — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: I was diagnosed with s coronary artery blockage and had a stent put in.

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-02-24
Call 1 — Left Voicemail
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-21
Survey response — 12 months, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · 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

MedDRA releases: 2024-11
2023-04-21
Report sent to call center — 12 months, dose 4
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 · 1 call case(s)
2023-04-24
Call successful
Not applicable - Accidental Reporting
2023-04-24
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech
3	2021-11-19	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-10	Successful 2021-12-13	Participant prefers to complete VAERS report online
2022-02-20	Successful 2023-04-24	Not applicable - Accidental Reporting
2023-04-21	Successful 2023-04-24	Not applicable - Accidental Reporting

Free text

Release 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): Slight feeling of being flushed in the face, not bad.

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): My arthritis is bothersome, but I havent taken any Tylenol for the last week and will hold off until two weeks after my second shot.

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Pain in armpit on side I got the shot.

2021-03-30

Systemic reaction (other): Still sore and tender under armpit.

2021-03-31

Systemic reaction (other): Soreness under the arm where I got the injection.

2021-04-01

Systemic reaction (other): Sore under the arm where I got the injection.

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Arthritis seems worse, especially in my hands where Ive not experienced it before. Doubt its related to the vaccine, rather likely due to some recent increase in lifting activities.

Release 10 — day 21, dose 3

2021-12-10

Symptoms: Tired and out of breath on exertion. Covid test was negative.

Release 11 — 3 months, dose 3

2022-02-20

Symptoms: I was diagnosed with s coronary artery blockage and had a stent put in.

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	Arthritis	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Coronary arterial stent insertion	·	·	✓
SD	Coronary artery occlusion	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Fatigue	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Arthritis	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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