364-10558-77286
4 vaccinations
7 coded responses
36 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 130 / NY
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-12
Dose 1 — Pfizer-BioNTech
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2021-01-13
Registered in v-safe
- 2021-01-13
- 2021-01-14
- 2021-01-15
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-19
- 2021-01-27
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2021-02-02
Dose 2 — Pfizer-BioNTech
- 2021-02-02
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Cough, stuffy nose/headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-08
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2021-02-09
Survey response — day 7, dose 2MedDRA: Arthralgia, Loss of personal independence in daily activities, Mobility decreased, Sleep disorder, Vaccine positive rechallenge — Feeling: Good · Site: Pain · Joint painsFree text: Since the first shot, Ive had pain in the shoulder of the arm where I received the shot. The pain did increase since the second shot. At first I didnt associate it with the shot but was trying to figure out how I could have possibly torn a rotator cuff but after the second shot, it increased pretty significantly. Not debilitating but it is affecting my sleep and some simple ADLs, for example putting on a coat or sweater, reaching for the seatbelt, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — day 14, dose 2MedDRA: Pain, Pain in extremity — Feeling: GoodFree text: The arm where I received the shot still hurts. Its not a deep muscle ache like I worked it too hard. its not in my shoulder as I originally thought. It kind of radiates, when I make certain movements, from where the shots were given to my shoulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — day 21, dose 2MedDRA: Middle insomnia, Pain, Pain in extremity — Feeling: GoodFree text: Not new but the arm where I received the shot still hurts pretty much since I received the first shot. Not all the time but when I put on a coat/sweater/blouse, reach for the seatbelt, and when I rollover in bed it sometimes wakes me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
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2021-03-09
Survey response — day 35, dose 2MedDRA: Musculoskeletal discomfort, Pain, Pain in extremity — Feeling: GoodFree text: The arm where I received both shots still hurts when I move it in certain ways. Never had a problem with my shoulder before this. Not debilitating but extremely annoying.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Shoulder pain in the arm I received the injection. Putting on a coat, reaching for seatbelt, extending my arm under my pillow to sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-08-03
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2021-10-19
Dose 3 — Pfizer-BioNTech
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2022-04-28
Dose 4 — Pfizer-BioNTech
- 2022-04-28
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2022-04-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Abdominal painAdult check-in
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2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2022-05-05
Health check-in — day 7, dose 4Feeling: Fair · Site: Itching · Headache, Abdominal painAdult check-in
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-07-28
- 2022-10-27
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2023-04-28
Survey response — 12 months, dose 4MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Pfizer-BioNTech | |
| 2 | 2021-02-02 | Pfizer-BioNTech | |
| 3 | 2021-10-19 | Pfizer-BioNTech | No |
| 4 | 2022-04-28 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Cough, stuffy nose/head
Release 3 — day 7, dose 2
Systemic reaction (other): Since the first shot, Ive had pain in the shoulder of the arm where I received the shot. The pain did increase since the second shot. At first I didnt associate it with the shot but was trying to figure out how I could have possibly torn a rotator cuff but after the second shot, it increased pretty significantly. Not debilitating but it is affecting my sleep and some simple ADLs, for example putting on a coat or sweater, reaching for the seatbelt, etc.
Release 4 — day 14, dose 2
Symptoms: The arm where I received the shot still hurts. Its not a deep muscle ache like I worked it too hard. its not in my shoulder as I originally thought. It kind of radiates, when I make certain movements, from where the shots were given to my shoul
Release 4 — day 21, dose 2
Symptoms: Not new but the arm where I received the shot still hurts pretty much since I received the first shot. Not all the time but when I put on a coat/sweater/blouse, reach for the seatbelt, and when I rollover in bed it sometimes wakes me.
Release 5 — day 35, dose 2
Symptoms: The arm where I received both shots still hurts when I move it in certain ways. Never had a problem with my shoulder before this. Not debilitating but extremely annoying.
Release 5 — day 42, dose 2
Symptoms: Shoulder pain in the arm I received the injection. Putting on a coat, reaching for seatbelt, extending my arm under my pillow to sleep.
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 | COVID-19 | · | · | ✓ |
| SD | Middle insomnia | ✓ | ✓ | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release