YYD-17757-70925

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 5 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 547 / WI
Registered: 2021-03-02

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

2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-02
Registered in v-safe
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Muscle twitch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — day 14, dose 1
MedDRA: Arthralgia, Fatigue, Muscle twitching — Feeling: Good · 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: Pain in hop joints. Muscle twitching migrated to legs. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Dose 2 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: I am feeling better now than I have in many months.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 21, dose 2
MedDRA: Migraine, Visual impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Migraines with temporary partial loss of vision.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 21, 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)
2021-04-19
Survey response — day 28, dose 2
MedDRA: Gout, Pain in extremity — Feeling: Good · Be unable to work, 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: Gout, severe pain in foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 28, 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)
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-23
Survey response — 3 months, dose 2
MedDRA: Bacterial infection, Blood uric acid increased, Gout, Headache, Migraine, Visual impairment — 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

Free text: Gout, high uric acid level and treated for bacterial infection in foot. Cluster migraines, one led to temporary partial blindness in left eye. Recurring minor headaches between left eye and temple.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 1 — Left Voicemail
2021-09-20
Survey response — 6 months, dose 2
MedDRA: Gout, Syncope — 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, Emergency room or emergency department visit

Free text: Gout.Fainted.

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Report sent to call center — 6 months, 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)
2021-09-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-24
Survey response — 12 months, dose 2
MedDRA: Gout — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Gout

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-22	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-15	Unsuccessful
2021-04-12	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-19	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-06-23	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-20	Successful 2021-09-22	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Muscle twitch

Release 5 — day 14, dose 1

2021-03-15

Symptoms: Pain in hop joints. Muscle twitching migrated to legs. Fatigue.

Release 6 — day 7, dose 2

2021-03-29

Systemic reaction (other): I am feeling better now than I have in many months.

Release 7 — day 21, dose 2

2021-04-12

Symptoms: Migraines with temporary partial loss of vision.

Release 7 — day 28, dose 2

2021-04-19

Symptoms: Gout, severe pain in foot

Release 9 — 3 months, dose 2

2021-06-23

Symptoms: Gout, high uric acid level and treated for bacterial infection in foot. Cluster migraines, one led to temporary partial blindness in left eye. Recurring minor headaches between left eye and temple.

Release 9 — 6 months, dose 2

2021-09-20

Symptoms: Gout.Fainted.

Release 11 — 12 months, dose 2

2022-03-24

Symptoms: Gout

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	Bacterial infection	✓	✓	✓
SD	Blood uric acid increased	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gout	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle twitching	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Syncope	·	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓

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