ZLA-69421-17611

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 481 / MI
Registered: 2020-12-23

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

2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-23
Registered in v-safe
2020-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fatigue — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: The fatigue was moderate in the first 36-48 hours. Have had an ache in the opposite shoulder where I had a rotator cuff tear 20 years ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Neuropathy peripheral, Pre-existing disease — Feeling: Good

Free text: Mild-I have a preexisting peripheral neuropathy that has been slightly worse since the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-05
Survey response — day 14, dose 1
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Left elbow pain-lateral epicondylitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Dose 2 — Pfizer-BioNTech
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Musculoskeletal stiffness, Reaction to previous exposure to any vaccine, Self-medication — Feeling: Good · Site: Pain · Headache

Free text: Had moderate, arm stiffness, headache and fatigue 12 hours after the second injection, lasting 12 hours, relieved by sleep and Tylenol. Persisted mildly for 3 days. The left elbow pain from the mid deltoid dysfunction caused by the first injection persists. Improving with exercises instructed by a PM&R doc to help realign the elbow joint.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Headache

Free text: Persistent elbow pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Headache

Free text: Left elbow pain present and improving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — day 7, dose 2
MedDRA: Arthralgia, Headache — Feeling: Good · Headache, Muscle or body aches

Free text: The left elbow pain persists. Mild headache as well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-11
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Dysphonia, Pre-existing disease, Sensory disturbance — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hoarse voice, paralyzed vocal from recurrent laryngeal nerve palsy from a mediastinoscopy. Slight progression of preexisting peripheral neuropathy. Dull feeling in brain

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

1 call case(s)
2021-06-07
Call successful
Participant prefers to complete VAERS report online
2021-07-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-05	priority 2/3
2021-04-11	Successful 2021-06-07	Participant prefers to complete VAERS report online

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-25

Systemic reaction (other): The fatigue was moderate in the first 36-48 hours. Have had an ache in the opposite shoulder where I had a rotator cuff tear 20 years ago

2020-12-28

Systemic reaction (other): Mild-I have a preexisting peripheral neuropathy that has been slightly worse since the vaccine

Release 1 — day 14, dose 1

2021-01-05

Symptoms: Left elbow pain-lateral epicondylitis

Release 1 — days 1–6 daily, dose 2

2021-01-13

Systemic reaction (other): Had moderate, arm stiffness, headache and fatigue 12 hours after the second injection, lasting 12 hours, relieved by sleep and Tylenol. Persisted mildly for 3 days. The left elbow pain from the mid deltoid dysfunction caused by the first injection persists. Improving with exercises instructed by a PM&R doc to help realign the elbow joint.

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Persistent elbow pain

2021-01-15

Systemic reaction (other): Left elbow pain present and improving

Release 2 — day 7, dose 2

2021-01-16

Systemic reaction (other): The left elbow pain persists. Mild headache as well

Release 7 — 3 months, dose 2

2021-04-11

Symptoms: Hoarse voice, paralyzed vocal from recurrent laryngeal nerve palsy from a mediastinoscopy. Slight progression of preexisting peripheral neuropathy. Dull feeling in brain

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	Condition aggravated	·	·	✓
SD	Dysphonia	✓	✓	✓
SD	Epicondylitis	○	○	○
SD	Pre-existing disease	✓	✓	✓
SD	Sensory disturbance	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Condition aggravated	○	○	○
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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