Z6D-30513-40655

2 vaccinations 4 coded responses 21 check-ins 4 free-text entries 3 call cases

Sex: Male
Age at first dose: 21-25
ZIP prefix: 479 / IN
Registered: 2020-12-16

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

2020-12-16
Registered in v-safe
2020-12-16
Dose 1 — Pfizer-BioNTech
2020-12-16
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-06
Dose 2 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-01-15
Report sent to call center — day 7, dose 2
Be unable to work

1 call case(s)
2021-01-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-27
Survey response — day 21, dose 2
MedDRA: Arthralgia, Discomfort, Fatigue, Insomnia, Myalgia, Pain in extremity, Sleep deficit — Feeling: Fair

Free text: Muscle and joint pain, continuous and mildHaving trouble sleeping, likely due to discomfort from said pain. (Started getting a near constant ache in my legs on Saturday). General fatigue, likely from lack of sleep (4-5 hrs a day)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 28, dose 2
MedDRA: Myalgia — Feeling: Fair

Free text: Muscle soreness in legs has not gone away, though a bit more minor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-17
Survey response — day 42, dose 2
MedDRA: Muscle fatigue, Myalgia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The muscle pain that flared up after ~2 weeks from second injection has yet to go away, though it's pretty much in my legs. Similar to muscular fatigue from working out, though occasional pain. Doctor today. They will order labs in future if needed. · Healthcare visit (other): Did a routine physical.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Survey response — 3 months, dose 2
MedDRA: Chills, Malaise, Pain in extremity, Pyrexia, Vertigo, Vomiting — Feeling: Fair · 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: Arm pain returned 3/12 along with vertigo. Got very sick 3/25, high fever, vomiting, chills. After I got better, leg and arm pain was no longer constant and seems to be improving. Still have it occasionally for 20-30 min.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Call 1 — Left Voicemail
2021-07-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-16	Pfizer-BioNTech
2	2021-01-06	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3
2021-02-17	Unsuccessful
2021-04-07	Unsuccessful

Free text

Release 2 — day 21, dose 2

2021-01-27

Symptoms: Muscle and joint pain, continuous and mildHaving trouble sleeping, likely due to discomfort from said pain. (Started getting a near constant ache in my legs on Saturday). General fatigue, likely from lack of sleep (4-5 hrs a day)

Release 3 — day 28, dose 2

2021-02-03

Symptoms: Muscle soreness in legs has not gone away, though a bit more minor.

Release 4 — day 42, dose 2

2021-02-17

Symptoms: The muscle pain that flared up after ~2 weeks from second injection has yet to go away, though it's pretty much in my legs. Similar to muscular fatigue from working out, though occasional pain. Doctor today. They will order labs in future if needed. cut off by CDC

Healthcare visit (other): Did a routine physical.

Release 7 — 3 months, dose 2

2021-04-07

Symptoms: Arm pain returned 3/12 along with vertigo. Got very sick 3/25, high fever, vomiting, chills. After I got better, leg and arm pain was no longer constant and seems to be improving. Still have it occasionally for 20-30 min.

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Muscle fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sleep deficit	✓	✓	✓
SD	Vertigo	✓	✓	✓
SD	Vomiting	✓	✓	✓

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