ZS3-74584-12953

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 393 / MS
Registered: 2021-01-27

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-26
Dose 1 — Pfizer-BioNTech
2021-01-27
Registered in v-safe
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Coughing frequently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Insomnia, Office visit, SARS-CoV-2 test negative — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Excessive Coughing, only slept 4hr 41 min last night. About 4 hr 30 Min Wednesday night.. Visited my doctor today. Tested negative for COVID. Placed on antibiotics and given cough syrup. Temperature 98.5 as of 4:01pm today, 29 Jan

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Discomfort, Productive cough — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: As of midday my discomfort seems to be decreasing. Still have flem and coughing issues, but also decreasing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Cough, Insomnia — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Abdominal pain is more than Moderate . Upper left side of Stomach area is Very Painful when I have to cough. Pressed a pillow on my stomach last night to try decrease frequency of cough and pain level. Unable to sleep more than 1.5 hour periods last night. Total of 4.0 hours sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-28
Dose 2 — Pfizer-BioNTech
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fatigue is intermittent, about 4 or 5 times a day

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

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 35, dose 2
MedDRA: Arthritis, Back pain, Muscle tightness — Feeling: Good · Be unable to do your normal daily activities

Free text: Persistent muscle tightness and inflammation of hip joint and lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 42, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Muscle and joint aching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-16
Call 1 — Left Voicemail
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-28	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-29	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Coughing frequently

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Excessive Coughing, only slept 4hr 41 min last night. About 4 hr 30 Min Wednesday night.. Visited my doctor today. Tested negative for COVID. Placed on antibiotics and given cough syrup. Temperature 98.5 as of 4:01pm today, 29 Jan

2021-01-30

Systemic reaction (other): As of midday my discomfort seems to be decreasing. Still have flem and coughing issues, but also decreasing

2021-02-01

Systemic reaction (other): Abdominal pain is more than Moderate . Upper left side of Stomach area is Very Painful when I have to cough. Pressed a pillow on my stomach last night to try decrease frequency of cough and pain level. Unable to sleep more than 1.5 hour periods last night. Total of 4.0 hours sleep

Release 5 — day 7, dose 2

2021-03-07

Systemic reaction (other): Fatigue is intermittent, about 4 or 5 times a day

Release 6 — day 35, dose 2

2021-04-04

Symptoms: Persistent muscle tightness and inflammation of hip joint and lower back pain

Release 7 — day 42, dose 2

2021-04-11

Symptoms: Muscle and joint aching

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	Arthritis	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	SARS-CoV-2 test negative	✓	✓	✓

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