ZM4-29336-10513

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 606 / IL
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-10
Survey response — day 14, dose 1
MedDRA: Arthralgia, Joint range of motion decreased, Pain, Unevaluable event — Feeling: Fair · 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: Symptoms: Right shoulder - for last 8 days, limited range of motion in right shoulder and could not raise above my head without significant pain Have since added IB / pain · Healthcare visit (other): Scheduled appointment with muscular neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
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)
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness, Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Since first shot in right arm I was not able to lift right arm without pain; right arm is weak to where I cant throw ball

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Muscular weakness, Pain — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Right shoulder where I had first shot / still weak and painful to move or throw ball

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 2
MedDRA: Mobility decreased, Muscular weakness, Myalgia — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Right arm and shoulder weakness and pain since first shot cant 100% freely move shoulder or arm or throw ball- muscle pain and immobility

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Survey response — day 21, dose 2
MedDRA: Arthralgia, Mobility decreased, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: My right shoulder still has pain and limitedRange of motion since the first shot. Muscle and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 28, dose 2
MedDRA: Mobility decreased — Feeling: Poor · Be unable to do your normal daily activities

Free text: Still limited range of motion and strength in right shoulder above where first shot was given with some pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 35, dose 2
MedDRA: Arthralgia, Joint range of motion decreased, Myalgia, Unevaluable event — Feeling: Poor · 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: Symptoms: Right shoulder & arm from original shot - limited range of motion, muscle and joint pain · Healthcare visit (other): Waiting for mri

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-10	Unsuccessful
2021-04-21	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-10

Symptoms: Right shoulder - for last 8 days, limited range of motion in right shoulder and could not raise above my head without significant pain Have since added IB / pain

Healthcare visit (other): Scheduled appointment with muscular neurologist

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Since first shot in right arm I was not able to lift right arm without pain; right arm is weak to where I cant throw ball

2021-03-23

Systemic reaction (other): Right shoulder where I had first shot / still weak and painful to move or throw ball

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): Right arm and shoulder weakness and pain since first shot cant 100% freely move shoulder or arm or throw ball- muscle pain and immobility

Release 7 — day 21, dose 2

2021-04-09

Symptoms: My right shoulder still has pain and limitedRange of motion since the first shot. Muscle and joint pain

Release 7 — day 28, dose 2

2021-04-14

Symptoms: Still limited range of motion and strength in right shoulder above where first shot was given with some pain

Release 7 — day 35, dose 2

2021-04-21

Symptoms: Right shoulder & arm from original shot - limited range of motion, muscle and joint pain

Healthcare visit (other): Waiting for mri

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	Joint range of motion decreased	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓

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