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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

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fever · Chills, Headache
    Adult check-in
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Insomnia, Restless legs syndrome — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Free 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
  5. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Back pain, Sleep disorder — Feeling: Good · Site: Itching · Joint pains
    Free text: Back & joint pain effecting sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Fair · Joint pains, Fatigue or tiredness
    Free text: Stiff neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Joint pains, Diarrhea
    Free text: Back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Neck pain, low back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: 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 consultation
    Free text: Back and neck pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-22
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-05
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-12
    Survey response — day 7, dose 2
    MedDRA: Back pain — Feeling: Good · Joint pains
    Free text: Back pain increased
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-05
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Mobility decreased — Feeling: Good
    Free 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
  17. 2021-03-12
    Survey response — day 35, dose 2
    MedDRA: Mobility decreased, Pain — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  18. 2021-03-19
    Survey response — day 42, dose 2
    MedDRA: 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 visit
    Free text: Left shoulder pain and limited movement
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-19
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-03-31
  21. 2021-05-07
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free 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
  22. 2021-05-07
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-08-06
    Survey response — 6 months, dose 2
    MedDRA: Granuloma annulare — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Granuloma Annulare on bilateral upper legs.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2021-08-06
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-08-10
  26. 2021-08-12
  27. 2021-08-18
  28. 2021-08-18
  29. 2021-08-18
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2022-02-05
    Survey response — 12 months, dose 2
    MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Increased nausea
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Pfizer-BioNTech
22021-02-05Pfizer-BioNTech

Call center

4 call center cases

3 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Difficulty sleeping with legs jerking and back/hip pain quite a bit more than usual.

2021-01-17

Systemic reaction (other): Back & joint pain effecting sleep

2021-01-18

Systemic reaction (other): Stiff neck

2021-01-19

Systemic reaction (other): Back pain

2021-01-21

Systemic reaction (other): Neck pain, low back pain

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Back and neck pain

Release 4 — day 7, dose 2

2021-02-12

Systemic reaction (other): Back pain increased

Release 5 — day 28, dose 2

2021-03-05

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

2021-03-12

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

2021-03-19

Symptoms: Left shoulder pain and limited movement

Release 8 — 3 months, dose 2

2021-05-07

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

2021-08-06

Symptoms: Granuloma Annulare on bilateral upper legs.

Release 11 — 12 months, dose 2

2022-02-05

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDGranuloma annulare ✓ · ✓
SDHypokinesia ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDNausea · · ✓
SDOffice visit ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDRotator cuff syndrome ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRORestless legs syndrome ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

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