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3VU-26985-12250

1 vaccination 5 coded responses 5 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
531 / WI
Registered
2022-01-15
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-01-15
    Registered in v-safe
  2. 2022-01-15
    Dose 1 — Pfizer-BioNTech
  3. 2022-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Formication, Neck pain, Pain in extremity — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities
    Free text: Sore neck. Painful from my neck through shoulder down arm to the wrist. Skin crawling.
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Tingling throughout my shoulder, arm and into my fingers.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-01-29
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Cough, Dyspnoea, Hypoaesthesia, Limb discomfort, Muscular weakness, Musculoskeletal discomfort, Oropharyngeal pain, Pain in extremity, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Coughing that hurts my throat. It's hard to catch my breath when coughing. Short of breath. A numbing, tingling, ache, weakness, and discomfort from my shoulder down through my fingers on the left side where I received the vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-04-16
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Chest pain, Gastrointestinal disorder, Headache, Heart rate increased, Muscle spasms, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Extreme left shoulder/upper chest pain. Low grade fever. Rapid heart rate. Headaches, muscle cramping. Bowel changes.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-23
    Survey response — 6 months, dose 1
    MedDRA: Abdominal pain, Arthralgia, Blood pressure increased, Heart rate increased, Joint swelling, Nephrolithiasis, Office visit, Pain in extremity, Peripheral swelling, Respiratory tract infection — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Respiratory infections, kidney stones, high blood pressure shoulder and arm pain heart raising severe abdominal pain and swelling of ankles and feet · Healthcare visit (other): Dr office, lab, radiology
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-07-23
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  9. 2022-07-25
  10. 2022-07-28

Vaccinations

DoseDateManufacturerCo-administered
12022-01-15Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2022-01-16

Systemic reaction (other): Sore neck. Painful from my neck through shoulder down arm to the wrist. Skin crawling.

2022-01-18

Systemic reaction (other): Tingling throughout my shoulder, arm and into my fingers.

Release 11 — day 14, dose 1

2022-01-29

Symptoms: Coughing that hurts my throat. It's hard to catch my breath when coughing. Short of breath. A numbing, tingling, ache, weakness, and discomfort from my shoulder down through my fingers on the left side where I received the vaccine.

Release 11 — 3 months, dose 1

2022-04-16

Symptoms: Extreme left shoulder/upper chest pain. Low grade fever. Rapid heart rate. Headaches, muscle cramping. Bowel changes.

Release 12 — 6 months, dose 1

2022-07-23

Symptoms: Respiratory infections, kidney stones, high blood pressure shoulder and arm pain heart raising severe abdominal pain and swelling of ankles and feet
Healthcare visit (other): Dr office, lab, radiology

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
HCVOOffice visit · · ✓
SDAbdominal pain · · ✓
SDArthralgia · · ✓
SDBlood pressure increased · · ✓
SDChest pain · · ✓
SDCough · · ✓
SDDyspnoea · · ✓
SDGastrointestinal disorder · · ✓
SDHeadache · · ✓
SDHeart rate increased · · ✓
SDHypoaesthesia · · ✓
SDJoint swelling · · ✓
SDLimb discomfort · · ✓
SDMuscle spasms · · ✓
SDMuscular weakness · · ✓
SDMusculoskeletal discomfort · · ✓
SDNephrolithiasis · · ✓
SDOropharyngeal pain · · ✓
SDPain in extremity · · ✓
SDParaesthesia · · ✓
SDPeripheral swelling · · ✓
SDPyrexia · · ✓
SDRespiratory tract infection · · ✓
SROArthralgia · · ✓
SROFormication · · ✓
SRONeck pain · · ✓
SROPain in extremity · · ✓
SROParaesthesia · · ✓

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