46Y-81057-65317
3 vaccinations
4 coded responses
5 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 973 / OR
- Registered
- 2021-10-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-19
Dose 1 — Pfizer-BioNTech
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2021-02-09
Dose 2 — Pfizer-BioNTech
-
2021-10-01
Dose 3 — Pfizer-BioNTech
-
2021-10-12
Registered in v-safe
-
2021-10-12
Survey response — day 7, dose 3MedDRA: Arthralgia, Feeling hot, Injection site pain, Injection site paraesthesia, Injection site warmth, Paraesthesia — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hot tingly pain shoulder and around injection siteMedDRA releases: 2024-11 · check-in free text available
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2021-10-12
Report sent to call center — day 7, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-15
- 2021-10-28
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2021-10-29
Survey response — day 28, dose 3MedDRA: Lymphadenopathy, Mammogram abnormal, Ultrasound breast abnormal, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I want to let someone know that I had a mammogram and ultrasound and reading from a radiologist indicating I have swollen lymph nodes jn my breast whichay likely related to the vaccine. It is on the side where I got the shot · Healthcare visit (other): Radiology x3MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-01
- 2021-11-04
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2022-04-01
Survey response — 6 months, dose 3MedDRA: Arthralgia, Back pain, Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Fair · 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 visitFree text: Severe back shoulder arm pain along with numbness and tingling that traveled down through my hand. Diagnostics were inconclusive this is the same side where I had a vaccination actually two vaccinationsMedDRA releases: 2024-11 · check-in free text available
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2022-04-01
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-04
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2022-10-01
Survey response — 12 months, dose 3MedDRA: Calcification of muscle, Cutaneous calcification, Musculoskeletal stiffness, Myalgia, Pain in extremity — Feeling: Poor · 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, Emergency room or emergency department visitFree text: Right arm and bicep calcification pain stiffness not sure about lymph node issue and also had a periodMedDRA releases: 2024-11 · check-in free text available
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2022-10-01
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-10-03
- 2022-10-03
- 2022-10-03
- 2022-10-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Pfizer-BioNTech | No |
| 2 | 2021-02-09 | Pfizer-BioNTech | No |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 unsuccessful
Free text
Release 10 — day 7, dose 3
Systemic reaction (other): Hot tingly pain shoulder and around injection site
Release 10 — day 28, dose 3
Symptoms: I want to let someone know that I had a mammogram and ultrasound and reading from a radiologist indicating I have swollen lymph nodes jn my breast whichay likely related to the vaccine. It is on the side where I got the shot
Healthcare visit (other): Radiology x3
Release 11 — 6 months, dose 3
Symptoms: Severe back shoulder arm pain along with numbness and tingling that traveled down through my hand. Diagnostics were inconclusive this is the same side where I had a vaccination actually two vaccinations
Release 12 — 12 months, dose 3
Symptoms: Right arm and bicep calcification pain stiffness not sure about lymph node issue and also had a period
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 | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Calcification of muscle | · | · | ✓ |
| SD | Cutaneous calcification | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Mammogram abnormal | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Ultrasound breast abnormal | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site paraesthesia | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release