YTR-14974-20871

5 vaccinations 7 coded responses 43 check-ins 6 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 372 / TN
Registered: 2021-01-24

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

2021-01-24
Registered in v-safe
2021-01-24
Dose 1 — Pfizer-BioNTech
2021-01-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Dose 2 — Pfizer-BioNTech
2021-02-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-07
Survey response — day 21, dose 2
MedDRA: Herpes zoster, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I received a Shingles shot on Friday about noon. Right now is about 54 hours later and I am still experiencing moderate soreness at and around the injection site. I am quite sure that this represents a moderate reaction to the Shingles shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 28, dose 2
MedDRA: Arthralgia, Back pain, Nerve compression — Feeling: Good · Be unable to do your normal daily activities

Free text: Bad back (painful). Pinched nerve in upper shoulder (very painful). Nothing relating to COVID-19.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 35, dose 2
MedDRA: Arthralgia, Nerve compression, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: I have sharp pain in my left shoulder... pinched nerve. Hurts like hell, but has nothing to do with the Coronavirus or antibodies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-15
Dose 4 — Pfizer-BioNTech
2021-12-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · 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: I had Covid-19 for a week.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 months, 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)
2022-04-05
Call 1 — Left Voicemail
2022-05-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-27
Dose 5 — Pfizer-BioNTech
Co-administered: Flu:Pneumonia
2022-11-01
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-03
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-10
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-28
Survey response — 3 months, dose 5
MedDRA: Arthritis — Feeling: Good

MedDRA releases: 2024-11
2023-04-27
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-24	Pfizer-BioNTech
2	2021-02-14	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No
4	2021-11-15	Pfizer-BioNTech	No
5	2022-10-27	Pfizer-BioNTech	Flu:Pneumonia

Call center

Reported	Outcome	VAERS-related outcome
2022-03-31	Unsuccessful

Free text

Release 5 — day 21, dose 2

2021-03-07

Symptoms: I received a Shingles shot on Friday about noon. Right now is about 54 hours later and I am still experiencing moderate soreness at and around the injection site. I am quite sure that this represents a moderate reaction to the Shingles shot.

Release 5 — day 28, dose 2

2021-03-14

Symptoms: Bad back (painful). Pinched nerve in upper shoulder (very painful). Nothing relating to COVID-19.

Release 6 — day 35, dose 2

2021-03-21

Symptoms: I have sharp pain in my left shoulder... pinched nerve. Hurts like hell, but has nothing to do with the Coronavirus or antibodies.

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): No

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: I had Covid-19 for a week.

Release 12 — days 1–6 daily, dose 5

2022-11-01

Systemic reaction (other): No

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	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Herpes zoster	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nerve compression	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	No adverse event	·	·	✓

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