4LZ-83485-13863
5 vaccinations
10 coded responses
64 check-ins
10 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 114 / NY
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-19
Registered in v-safe
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2021-04-19
Dose 1 — Pfizer-BioNTech
- 2021-04-19
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Raising the arm I had the shot in causes mild painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Less pain that before when lifting up my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Site: Redness, Swelling · Fatigue or tirednessFree text: It feels like I have a slight cold, with a little bit of a site throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Muscle or body achesAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-05-03
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2021-05-10
Dose 2 — Pfizer-BioNTech
- 2021-05-10
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Pain when lifting the arm the shot was given into.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Less pain when lifting the arm I had the shot in, but still thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Slight pain when lifting arm that had shot in itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-15
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Muscle or body achesAdult check-in
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-16
- 2021-06-21
- 2021-08-09
- 2021-11-08
-
2021-12-22
Dose 3 — Pfizer-BioNTech
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2021-12-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-12-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-12-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-26
- 2021-12-27
- 2021-12-28
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
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2022-01-26
Survey response — day 35, dose 3MedDRA: Diabetes mellitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diabetes diagnosisMedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-02
- 2022-02-02
-
2022-02-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-23
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2022-06-08
Dose 4 — Pfizer-BioNTech
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2022-06-08
Survey response — day 0, dose 4MedDRA: Injection site pain — Feeling: FairFree text: Tenderness at injection site.MedDRA releases: 2024-11 · check-in free text available
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2022-06-09
Survey response — days 1–6 daily, dose 4MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain when lifting arm of injectionMedDRA releases: 2024-11 · check-in free text available
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2022-06-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-06-11
- 2022-06-12
- 2022-06-13
- 2022-06-14
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-07-06
- 2022-07-13
- 2022-07-20
- 2022-09-07
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2022-10-20
Dose 5 — Pfizer-BioNTech
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2022-10-21
Survey response — days 1–6 daily, dose 5MedDRA: Pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pain when lifting the arm I got the shot on.MedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-10-23
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Pfizer-BioNTech | |
| 2 | 2021-05-10 | Pfizer-BioNTech | |
| 3 | 2021-12-22 | Pfizer-BioNTech | No |
| 4 | 2022-06-08 | Pfizer-BioNTech | No |
| 5 | 2022-10-20 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Raising the arm I had the shot in causes mild pain
Systemic reaction (other): Less pain that before when lifting up my arm
Systemic reaction (other): It feels like I have a slight cold, with a little bit of a site throat.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Pain when lifting the arm the shot was given into.
Systemic reaction (other): Less pain when lifting the arm I had the shot in, but still there
Systemic reaction (other): Slight pain when lifting arm that had shot in it
Release 11 — day 35, dose 3
Symptoms: Diabetes diagnosis
Release 11 — day 0, dose 4
Systemic reaction (other): Tenderness at injection site.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Pain when lifting arm of injection
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Pain when lifting the arm I got the shot on.
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 | Diabetes mellitus | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release