42Q-17121-22984
2 vaccinations
4 coded responses
6 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 176 / PA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Pfizer-BioNTech
-
2021-04-02
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: Good · Muscle or body achesFree text: Arm achingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Injected limb mobility decreased, Mobility decreased, Musculoskeletal pain, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: I really believe that my shot was administered in my scapula not in my deltoid creating the terrible pain I had in my arm in which I was unable to lift it or use it at all for 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
-
2021-04-23
Dose 2 — Pfizer-BioNTech
-
2021-07-02
Survey response — 3 months, dose 1MedDRA: Ageusia, Dizziness, Motion sickness, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Ive had What urgent care called acute pansinusitis For the past two weeks! A week prior I felt lightheaded and motion sick on and off each day before the sinus issues hit! And, I have not been able to taste anything in the last seven days. · Healthcare visit (other): Urgent careMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
- 2021-10-01
-
2022-04-24
Survey response — 12 months, dose 2MedDRA: Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have had episodes of feeling unwell more since I've been vaccinated than prior to!MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Arm aching
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I really believe that my shot was administered in my scapula not in my deltoid creating the terrible pain I had in my arm in which I was unable to lift it or use it at all for 24 hours
Release 9 — 3 months, dose 1
Symptoms: Ive had What urgent care called acute pansinusitis For the past two weeks! A week prior I felt lightheaded and motion sick on and off each day before the sinus issues hit! And, I have not been able to taste anything in the last seven days.
Healthcare visit (other): Urgent care
Release 11 — 12 months, dose 2
Symptoms: I have had episodes of feeling unwell more since I've been vaccinated than prior to!
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Ageusia | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Motion sickness | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | · | · | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ○ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ○ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release