ZJZ-23293-06331

4 vaccinations 12 coded responses 54 check-ins 11 free-text entries 4 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 483 / MI
Registered: 2021-03-28

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

2021-03-28
Registered in v-safe
2021-03-28
Dose 1 — Pfizer-BioNTech
2021-03-28
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: No. Injection site may be slightly sore, but nothing of convern

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-18
Dose 2 — Pfizer-BioNTech
2021-04-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-09
Survey response — day 21, dose 2
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: A reoccurance of hand swelling and pain that could not be diagnosed when it first happened ~10 months ago. I do not believe it related to the vaccine, just trying to be accurate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-23
Survey response — day 35, dose 2
MedDRA: Rheumatoid arthritis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Doctor believes I have Rheumatoid Arthritis. Had it happen once before, but this attack is worse. It started about a week after 2nd shot, although I mention that just for clarity. I am not associating the two events.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — day 35, 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)
2021-05-30
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-17
Survey response — 6 months, dose 2
MedDRA: Arthritis — 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: Inflammatory arthritis

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2022-01-23
Dose 3 — Moderna
2022-01-23
Survey response — day 0, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains

Free text: Have arthritis, so joint pain not new.

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Fatigue, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Joint pain from arthritis. Tiredness is new.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site swelling, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains

Free text: Joint pain pre-dates the shot. The spot of the injection is slightly raised.

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains

Free text: Pain from arthritis.

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: Pre-existing arthritis.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: Old pains.

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: Old pains

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Health check-in — day 7, dose 3
Feeling: Good · Joint pains

Adult check-in
2022-02-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-21
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-21
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-10-28
Health check-in — day 7, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-11-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-21
Survey response — 6 months, dose 4
MedDRA: Fatigue, Office visit, Pneumonia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-21
Report sent to call center — 6 months, dose 4
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)
2023-04-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-28	Pfizer-BioNTech
2	2021-04-18	Pfizer-BioNTech
3	2022-01-23	Moderna	No
4	2022-10-21	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-09	Successful 2023-04-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-23	Successful 2023-04-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-17	Successful 2023-04-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-21	Successful 2023-04-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — day 0, dose 1

2021-03-28

Systemic reaction (other): No. Injection site may be slightly sore, but nothing of convern

Release 8 — day 21, dose 2

2021-05-09

Symptoms: A reoccurance of hand swelling and pain that could not be diagnosed when it first happened ~10 months ago. I do not believe it related to the vaccine, just trying to be accurate.

Release 8 — day 35, dose 2

2021-05-23

Symptoms: Doctor believes I have Rheumatoid Arthritis. Had it happen once before, but this attack is worse. It started about a week after 2nd shot, although I mention that just for clarity. I am not associating the two events.

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: Inflammatory arthritis

Release 11 — day 0, dose 3

2022-01-23

Systemic reaction (other): Have arthritis, so joint pain not new.

Release 11 — days 1–6 daily, dose 3

2022-01-24

Systemic reaction (other): Joint pain from arthritis. Tiredness is new.

2022-01-25

Systemic reaction (other): Joint pain pre-dates the shot. The spot of the injection is slightly raised.

2022-01-26

Systemic reaction (other): Pain from arthritis.

2022-01-27

Systemic reaction (other): Pre-existing arthritis.

2022-01-28

Systemic reaction (other): Old pains.

2022-01-29

Systemic reaction (other): Old pains

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	Office visit	·	·	✓
SD	Arthritis	·	·	✓
SD	Fatigue	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Rheumatoid arthritis	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	·	·	✓
SRO	Pre-existing disease	·	·	✓

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