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2PW-13870-97573

4 vaccinations 14 coded responses 26 check-ins 13 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
981 / WA
Registered
2021-06-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-11
    Registered in v-safe
  2. 2021-06-11
    Dose 1 — Pfizer-BioNTech
  3. 2021-06-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-06-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Mobility decreased — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: The area around for the shot was given is super painful I'm unable to lift my arm to use it in a normal manner this started about 6 hours after the shot and has continued to 2: 00pm the next day at the time of this report.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Good
    Free text: The pain from the shot is all gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-06-19
    Survey response — day 7, dose 1
    MedDRA: Nasopharyngitis — Feeling: Fair · Site: Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Cold like syemtoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-25
    Survey response — day 14, dose 1
    MedDRA: Nasopharyngitis — Feeling: Good
    Free text: Sometimes I feel like I'm coming down with cold but it's gone within a few hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-02
    Dose 2 — Pfizer-BioNTech
  10. 2021-07-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: The shot was extremely painful
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Somnolence — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Vary sleepy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  13. 2021-07-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Muscle swelling, Musculoskeletal stiffness, Myalgia, Nasopharyngitis — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: I took a full dropper of Lomatium Root to remove the Cold like systems and Arnica Montana 3 pellets and cream to relieve muscle pain stiffness swelling from the shot and muscle and joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-09
    Survey response — day 7, dose 2
    MedDRA: Impaired work ability, Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: The pain is a little bit better. Still unable to go to work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-07-16
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-07-25
    Survey response — day 21, dose 2
    MedDRA: Injected limb mobility decreased, Injection site pain, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My shoulder where the shot was given is still incredibly sore I am unable to lift my arm more than 45° without severe pain. This has been ongoing since the shot was given
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-08-02
    Survey response — day 28, dose 2
    MedDRA: Injection site pain, Loss of personal independence in daily activities — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Time where my shot was given the second time has still been sore as the first day... It stops me from doing normal daily activities
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-06
    Survey response — day 35, dose 2
    MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: My arm were I got the shot is still painful. At time I am unable to lift it...
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-08-18
    Survey response — day 42, dose 2
    MedDRA: Injection site pain — Feeling: Fair
    Free text: My arm is still sore at a level 5 out of 10 where I got the covid shot.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-10-01
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-12-22
    Dose 3 — Pfizer-BioNTech
  22. 2021-12-31
    Survey response — 6 months, dose 2
    MedDRA: Influenza like illness — Feeling: Poor · Be unable to work or attend school
    Free text: Flu like symptoms
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-07-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-10-27
    Dose 4 — Pfizer-BioNTech
  25. 2022-10-27
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  26. 2022-11-15
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-11-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-11-25
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-12-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-12-08
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  31. 2023-04-27
    Survey response — 6 months, dose 4
    MedDRA: Chest pain — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-06-11Pfizer-BioNTech
22021-07-02Pfizer-BioNTech No
32021-12-22Pfizer-BioNTech No
42022-10-27Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-12

Systemic reaction (other): The area around for the shot was given is super painful I'm unable to lift my arm to use it in a normal manner this started about 6 hours after the shot and has continued to 2: 00pm the next day at the time of this report.

2021-06-14

Systemic reaction (other): The pain from the shot is all gone

Release 9 — day 7, dose 1

2021-06-19

Systemic reaction (other): Cold like syemtoms

Release 9 — day 14, dose 1

2021-06-25

Symptoms: Sometimes I feel like I'm coming down with cold but it's gone within a few hours.

Release 9 — days 1–6 daily, dose 2

2021-07-03

Systemic reaction (other): The shot was extremely painful

2021-07-04

Systemic reaction (other): Vary sleepy

2021-07-06

Systemic reaction (other): I took a full dropper of Lomatium Root to remove the Cold like systems and Arnica Montana 3 pellets and cream to relieve muscle pain stiffness swelling from the shot and muscle and joint pain

Release 9 — day 7, dose 2

2021-07-09

Systemic reaction (other): The pain is a little bit better. Still unable to go to work

Release 9 — day 21, dose 2

2021-07-25

Symptoms: My shoulder where the shot was given is still incredibly sore I am unable to lift my arm more than 45° without severe pain. This has been ongoing since the shot was given

Release 9 — day 28, dose 2

2021-08-02

Symptoms: Time where my shot was given the second time has still been sore as the first day... It stops me from doing normal daily activities

Release 9 — day 35, dose 2

2021-08-06

Symptoms: My arm were I got the shot is still painful. At time I am unable to lift it...

Release 9 — day 42, dose 2

2021-08-18

Symptoms: My arm is still sore at a level 5 out of 10 where I got the covid shot.

Release 10 — 6 months, dose 2

2021-12-31

Symptoms: Flu like 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
SDChest pain · · ✓
SDInfluenza like illness · · ✓
SDInjected limb mobility decreased ✓ · ✓
SDInjection site pain ✓ · ✓
SDLoss of personal independence in daily activities ✓ · ✓
SDNasopharyngitis ✓ ✓ ✓
SDPain ✓ · ✓
SROArthralgia ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROMuscle swelling ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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

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