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4JX-29031-39424

2 vaccinations 3 coded responses 17 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
019 / MA
Registered
2021-04-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-01
    Registered in v-safe
  2. 2021-04-01
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-01
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  6. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  7. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Neck pain — Feeling: Good
    Free text: Ive had a lot of neck and shoulder pain on he opposite arm from The injection arm. The shoulder and arm pain is in the site previously operated on and radiated for breast cancer 7 years ago. The pain started within 24 hours of the injection. It grew in intensity for 4 days and is now starting to subside. It felt like a whiplash like pain. Very inflamed. I did not injure it or do anything unusual. The only thing different was the vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  9. 2021-04-08
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  10. 2021-04-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-22
    Dose 2 — Pfizer-BioNTech
  12. 2021-04-29
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-05-06
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-13
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-05-20
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-04-24
    Survey response — 12 months, dose 2
    MedDRA: Dyspnoea, Fluid retention, Weight increased — Feeling: Fair · 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: Shortness of breath. Weight gain. Fluid retention.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-24
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-04-26

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Pfizer-BioNTech
22021-04-22Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Ive had a lot of neck and shoulder pain on he opposite arm from The injection arm. The shoulder and arm pain is in the site previously operated on and radiated for breast cancer 7 years ago. The pain started within 24 hours of the injection. It grew in intensity for 4 days and is now starting to subside. It felt like a whiplash like pain. Very inflamed. I did not injure it or do anything unusual. The only thing different was the vaccination.

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Shortness of breath. Weight gain. Fluid retention.

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
SDDyspnoea · · ✓
SDFluid retention · · ✓
SDWeight increased · · ✓
SROArthralgia ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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