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ZFB-65760-30626

5 vaccinations 21 coded responses 45 check-ins 21 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
546 / WI
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Registered in v-safe
  2. 2021-02-03
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-03
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Pre-existing disease, Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Other than my mild shoulder pain at the injection site, my other reported symptoms are also caused by a chronic, pre-existing physical condition, and likely not vaccine related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hereditary motor and sensory neuropathy, Injection site pain, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Except for mild pain at injection site, the other listed symptoms are due to chronic and progressive Charcot-Marie-Tooth neuromuscular disorder.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Osteoarthritis and Charcot-Marie-Tooth disorder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hereditary motor and sensory neuropathy, Osteoarthritis, Pre-existing disease — Feeling: Fair
    Free text: CMT1a and Osteoarthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair
    Free text: CMT1a and Osteoarthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-10
    Survey response — day 7, dose 1
    MedDRA: Osteoarthritis, Tooth disorder — Feeling: Fair
    Free text: (b)(6) and Osteoarthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-19
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-02-24
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-01
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: CMT1A and Osteoarthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Reported symptoms are attributed to underlying medical conditions of CMT1A and Osteoarthritis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: CMT1A and Osteoarthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: CMT1A and Osteoarthritis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-08
    Survey response — day 7, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: CMT1A and Osteoarthritis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-15
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-03-22
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-03-29
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-04-05
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-04-14
    Survey response — day 42, dose 2
    MedDRA: Depression — Feeling: Poor
    Free text: Depression
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-08-30
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-09-29
    Dose 3 — Pfizer-BioNTech
    Co-administered: yes
  26. 2021-09-29
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  27. 2021-09-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: The above symptoms are chronic and caused by a neuromuscular disorder and arthritis.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Other symptoms are chronic and caused by neuropathy and arthritis, not Covid vaccine related.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  30. 2021-10-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Condition aggravated, Osteoarthritis, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms listed are due to CMT and Osteoarthritis
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms listed are due to CMT and Osteoarthritis
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Condition aggravated, Osteoarthritis, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Selected symptoms are due to CMA and Osteoarthritis
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-06
    Survey response — day 7, dose 3
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Selected symptoms are due to CMT and Osteoarthritis
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-06
    Report sent to call center — day 7, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  35. 2021-10-13
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  36. 2021-10-20
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  37. 2021-10-27
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  38. 2021-11-05
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  39. 2021-11-08
  40. 2021-11-11
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  41. 2022-04-01
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  42. 2022-04-25
    Dose 4 — Pfizer-BioNTech
  43. 2022-09-21
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  44. 2022-09-26
    Survey response — days 1–6 daily, dose 5
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Hereditary neuromuscular disorder causing the selected symptoms
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-09-27
    Survey response — days 1–6 daily, dose 5
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Hereditary neuromuscular disorder causing listed symptoms
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-09-28
    Survey response — day 7, dose 5
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: CMT Disorder causing listed symptoms
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-10-05
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  48. 2022-10-12
    Health check-in — day 21, dose 5
    Feeling: Fair
    Adult check-in
  49. 2022-10-21
    Health check-in — day 28, dose 5
    Feeling: Fair
    Adult check-in
  50. 2022-10-26
    Health check-in — day 35, dose 5
    Feeling: Fair
    Adult check-in
  51. 2022-11-02
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  52. 2022-12-23
    Health check-in — 3 months, dose 5
    Feeling: Fair
    Adult check-in
  53. 2023-03-22
    Health check-in — 6 months, dose 5
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Pfizer-BioNTech
22021-03-01Pfizer-BioNTech
32021-09-29Pfizer-BioNTech Yes
42022-04-25Pfizer-BioNTech No
52022-09-21Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2021-10-06 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Other than my mild shoulder pain at the injection site, my other reported symptoms are also caused by a chronic, pre-existing physical condition, and likely not vaccine related.

2021-02-05

Systemic reaction (other): Except for mild pain at injection site, the other listed symptoms are due to chronic and progressive Charcot-Marie-Tooth neuromuscular disorder.

2021-02-07

Systemic reaction (other): Osteoarthritis and Charcot-Marie-Tooth disorder

2021-02-08

Systemic reaction (other): CMT1a and Osteoarthritis

2021-02-09

Systemic reaction (other): CMT1a and Osteoarthritis

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): (b)(6) and Osteoarthritis
redacted (b)(6)

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): CMT1A and Osteoarthritis

2021-03-05

Systemic reaction (other): Reported symptoms are attributed to underlying medical conditions of CMT1A and Osteoarthritis.

2021-03-06

Systemic reaction (other): CMT1A and Osteoarthritis

2021-03-07

Systemic reaction (other): CMT1A and Osteoarthritis.

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): CMT1A and Osteoarthritis.

Release 7 — day 42, dose 2

2021-04-14

Symptoms: Depression

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): The above symptoms are chronic and caused by a neuromuscular disorder and arthritis.

2021-10-01

Systemic reaction (other): Other symptoms are chronic and caused by neuropathy and arthritis, not Covid vaccine related.

2021-10-03

Systemic reaction (other): Symptoms listed are due to CMT and Osteoarthritis

2021-10-04

Systemic reaction (other): Symptoms listed are due to CMT and Osteoarthritis

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Selected symptoms are due to CMA and Osteoarthritis

Release 10 — day 7, dose 3

2021-10-06

Systemic reaction (other): Selected symptoms are due to CMT and Osteoarthritis

Release 12 — days 1–6 daily, dose 5

2022-09-26

Systemic reaction (other): Hereditary neuromuscular disorder causing the selected symptoms

2022-09-27

Systemic reaction (other): Hereditary neuromuscular disorder causing listed symptoms

Release 12 — day 7, dose 5

2022-09-28

Systemic reaction (other): CMT Disorder causing listed symptoms

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

FieldPreferred term2021-092023-042024-11
SDDepression ✓ ✓ ✓
SROAdverse reaction · · ✓
SROArthralgia ✓ ✓ ✓
SROCondition aggravated · · ✓
SROHereditary motor and sensory neuropathy ○ ✓ ○
SROInjection site pain ✓ ✓ ✓
SROOsteoarthritis ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTooth disorder ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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