4HF-12027-41305
2 vaccinations
13 coded responses
17 check-ins
13 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 652 / MO
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Pfizer-BioNTech
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2021-01-15
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fever · Chills, HeadacheAdult check-in
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Insomnia, Restless legs syndrome — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessFree text: Difficulty sleeping with legs jerking and back/hip pain quite a bit more than usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Back pain, Sleep disorder — Feeling: Good · Site: Itching · Joint painsFree text: Back & joint pain effecting sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness — Feeling: Fair · Joint pains, Fatigue or tirednessFree text: Stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Fair · Joint pains, DiarrheaFree text: Back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Neck pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Neck pain, low back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — day 7, dose 1MedDRA: Back pain, Neck pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Back and neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-29
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2021-02-05
Dose 2 — Pfizer-BioNTech
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2021-02-12
Survey response — day 7, dose 2MedDRA: Back pain — Feeling: Good · Joint painsFree text: Back pain increasedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
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2021-03-05
Survey response — day 28, dose 2MedDRA: Arthralgia, Mobility decreased — Feeling: GoodFree text: Shoulder pain in arm from last shot. Some pain was present but now limited movement in left shoulder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 35, dose 2MedDRA: Mobility decreased, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Left shoulder/arm. Unable to lift out from the side more than a few inches. Can move forward but to side or back causing extreme pain and limited a lot in movement.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 42, dose 2MedDRA: Arthralgia, Hypokinesia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left shoulder pain and limited movementMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-31
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Arthralgia, Office visit, Rotator cuff syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: The shoulder pain that started after my 2nd vaccine was discovered to be a rotator cuff injury. I have had multiple doctor visits and now scheduled for a steroid injection and have to start physical therapy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Granuloma annulare — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Granuloma Annulare on bilateral upper legs.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-10
- 2021-08-12
- 2021-08-18
- 2021-08-18
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2021-08-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-02-05
Survey response — 12 months, dose 2MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Increased nauseaMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-05 | Pfizer-BioNTech |
Call center
4 call center cases
3 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Difficulty sleeping with legs jerking and back/hip pain quite a bit more than usual.
Systemic reaction (other): Back & joint pain effecting sleep
Systemic reaction (other): Stiff neck
Systemic reaction (other): Back pain
Systemic reaction (other): Neck pain, low back pain
Release 2 — day 7, dose 1
Systemic reaction (other): Back and neck pain
Release 4 — day 7, dose 2
Systemic reaction (other): Back pain increased
Release 5 — day 28, dose 2
Symptoms: Shoulder pain in arm from last shot. Some pain was present but now limited movement in left shoulder.
Release 5 — day 35, dose 2
Symptoms: Left shoulder/arm. Unable to lift out from the side more than a few inches. Can move forward but to side or back causing extreme pain and limited a lot in movement.
Release 6 — day 42, dose 2
Symptoms: Left shoulder pain and limited movement
Release 8 — 3 months, dose 2
Symptoms: The shoulder pain that started after my 2nd vaccine was discovered to be a rotator cuff injury. I have had multiple doctor visits and now scheduled for a steroid injection and have to start physical therapy.
Release 9 — 6 months, dose 2
Symptoms: Granuloma Annulare on bilateral upper legs.
Release 11 — 12 months, dose 2
Symptoms: Increased nausea
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 | Granuloma annulare | ✓ | · | ✓ |
| SD | Hypokinesia | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rotator cuff syndrome | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Restless legs syndrome | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release