2X5-84590-92274
2 vaccinations
4 coded responses
4 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 785 / TX
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-25
Dose 2 — Pfizer-BioNTech
-
2021-03-28
Registered in v-safe
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Hypoaesthesia, Joint range of motion decreased — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains · Be unable to do your normal daily activitiesFree text: Severe shoulder joint pain and limited range of motion, numbness to forearm and handMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Emergency care, Hypoaesthesia, Joint range of motion decreased, Office visit — Feeling: Poor · Site: Swelling · Joint pains · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Severe shoulder pain, limited range of motion, numbness to hand and distal forearm · Healthcare visit (other): Doctor office visit - was then sent ERMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-02
Survey response — day 7, dose 2MedDRA: Arthritis bacterial, Hospitalisation, Osteomyelitis — Feeling: Fair · Joint pains · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Was admitted to hospital with septic arthritis and osteomyelitis to left shoulder. I received the both the 1st and 2nd dose of vaccine on left armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-08
Survey response — day 14, dose 2MedDRA: Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Diagnosis of septic arthritis and osteomyelitis in left shoulder (received both vaccines in left shoulder). Placement of PICC line in right arm, receiving daily doses of 2 different antibiotics in Ambulatory Infusion Unit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-14
Call successfulParticipant prefers to complete VAERS report online
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2021-06-14
Call successfulParticipant prefers to complete VAERS report online
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2021-06-14
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Severe shoulder joint pain and limited range of motion, numbness to forearm and hand
Systemic reaction (other): Severe shoulder pain, limited range of motion, numbness to hand and distal forearm
Healthcare visit (other): Doctor office visit - was then sent ER
Release 6 — day 7, dose 2
Systemic reaction (other): Was admitted to hospital with septic arthritis and osteomyelitis to left shoulder. I received the both the 1st and 2nd dose of vaccine on left arm
Release 7 — day 14, dose 2
Symptoms: Diagnosis of septic arthritis and osteomyelitis in left shoulder (received both vaccines in left shoulder). Placement of PICC line in right arm, receiving daily doses of 2 different antibiotics in Ambulatory Infusion Unit.
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 | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis bacterial | ✓ | ✓ | ✓ |
| SRO | Hospitalisation | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SRO | Osteomyelitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release