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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

  1. 2021-01-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-09
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-01
    Dose 3 — Pfizer-BioNTech
  4. 2021-10-12
    Registered in v-safe
  5. 2021-10-12
    Survey response — day 7, dose 3
    MedDRA: 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 consultation
    Free text: Hot tingly pain shoulder and around injection site
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-10-12
    Report sent to call center — day 7, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  7. 2021-10-15
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  8. 2021-10-28
  9. 2021-10-29
    Survey response — day 28, dose 3
    MedDRA: 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 visit
    Free 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 x3
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-10-29
    Report sent to call center — day 28, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2021-11-01
  12. 2021-11-04
  13. 2022-04-01
    Survey response — 6 months, dose 3
    MedDRA: 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 visit
    Free 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 vaccinations
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-04-01
    Report sent to call center — 6 months, dose 3
    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)
  15. 2022-04-04
  16. 2022-10-01
    Survey response — 12 months, dose 3
    MedDRA: 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 visit
    Free text: Right arm and bicep calcification pain stiffness not sure about lymph node issue and also had a period
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-10-01
    Report sent to call center — 12 months, dose 3
    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 visit · 1 call case(s)
  18. 2022-10-03
  19. 2022-10-03
  20. 2022-10-03
  21. 2022-10-03

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Pfizer-BioNTech No
22021-02-09Pfizer-BioNTech No
32021-10-01Pfizer-BioNTech No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 10 — day 7, dose 3

2021-10-12

Systemic reaction (other): Hot tingly pain shoulder and around injection site

Release 10 — day 28, dose 3

2021-10-29

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

2022-04-01

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

2022-10-01

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDArthralgia · · ✓
SDBack pain · · ✓
SDCalcification of muscle · · ✓
SDCutaneous calcification · · ✓
SDHypoaesthesia · · ✓
SDLymphadenopathy · · ✓
SDMammogram abnormal · · ✓
SDMusculoskeletal stiffness · · ✓
SDMyalgia · · ✓
SDPain in extremity · · ✓
SDParaesthesia · · ✓
SDUltrasound breast abnormal · · ✓
SROArthralgia · · ✓
SROFeeling hot · · ✓
SROInjection site pain · · ✓
SROInjection site paraesthesia · · ✓
SROInjection site warmth · · ✓
SROParaesthesia · · ✓

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