2UU-26909-58802

2 vaccinations 6 coded responses 12 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 370 / TN
Registered: 2021-08-16

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

2021-07-27
Dose 1 — Pfizer-BioNTech
2021-08-16
Registered in v-safe
2021-08-16
Survey response — day 14, dose 1
MedDRA: Feeling hot, Hypoaesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: The day of my first shot when I stood up my left side became warm down to my foot. · Healthcare visit (other): my arm also felt numb. Decided to check for blood clots on the fifth day after my first shot.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Dose 2 — Pfizer-BioNTech
2021-08-23
Call 1 — Left Voicemail
2021-08-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-24
Call successful
Completed over the phone
2021-08-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-10
Survey response — day 21, dose 2
MedDRA: Loss of personal independence in daily activities, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: My right arm is still bothering me. If I move it to grab an item on my right I jerk it back due to the pain. My shot was near the top of my right arm not in the Muscle. I cant wash my back any more.

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — day 28, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Fair

Free text: My right arm still hurts. Mover it up or outward.

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — day 35, dose 2
MedDRA: Office visit, Pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Right arm still hurts when I raise it or teach for something · Healthcare visit (other): Primary

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-11-19
Survey response — 3 months, dose 2
MedDRA: Office visit, Pain, Pain in extremity, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in my upper right arm it's still hard to do things. Grabbing something or reaching high, even trying to scratch my back hurts. I've developed a rash on my right arm which comes and goes. · Healthcare visit (other): Primary

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-23
Call 1 — Left Voicemail
2021-11-23
Call successful
Participant prefers to complete VAERS report online
2022-02-20
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Arthropathy, Joint range of motion decreased, Office visit, Rash pruritic, Skin burning sensation, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Since August 20 my second shot I still get rashes that burn and itch. My right shoulder still hurts and hard to move it at times. Now my elbows and knees and face bother me as well. I've been several doctors. Nothing! Sorry I took the 2nd shot. · Healthcare visit (other): Primary, skin and joint doctors

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-21
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-27	Pfizer-BioNTech	No
2	2021-08-20	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 9 — day 14, dose 1

2021-08-16

Symptoms: The day of my first shot when I stood up my left side became warm down to my foot.

Healthcare visit (other): my arm also felt numb. Decided to check for blood clots on the fifth day after my first shot.

Release 9 — day 21, dose 2

2021-09-10

Symptoms: My right arm is still bothering me. If I move it to grab an item on my right I jerk it back due to the pain. My shot was near the top of my right arm not in the Muscle. I cant wash my back any more.

Release 9 — day 28, dose 2

2021-09-17

Symptoms: My right arm still hurts. Mover it up or outward.

Release 9 — day 35, dose 2

2021-09-24

Symptoms: Right arm still hurts when I raise it or teach for something

Healthcare visit (other): Primary

Release 10 — 3 months, dose 2

2021-11-19

Symptoms: Pain in my upper right arm it's still hard to do things. Grabbing something or reaching high, even trying to scratch my back hurts. I've developed a rash on my right arm which comes and goes.

Healthcare visit (other): Primary

Release 11 — 6 months, dose 2

2022-02-20

Symptoms: Since August 20 my second shot I still get rashes that burn and itch. My right shoulder still hurts and hard to move it at times. Now my elbows and knees and face bother me as well. I've been several doctors. Nothing! Sorry I took the 2nd shot.

Healthcare visit (other): Primary, skin and joint doctors

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	Hypoaesthesia	✓	·	✓
HCVO	Office visit	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthropathy	·	·	✓
SD	Feeling hot	✓	·	✓
SD	Joint range of motion decreased	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Skin burning sensation	·	·	✓
SD	Unevaluable event	·	·	✓

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