4RT-16521-41066
2 vaccinations
4 coded responses
7 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 606 / IL
- Registered
- 2021-05-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Pfizer-BioNTech
-
2021-04-30
Dose 2 — Pfizer-BioNTech
-
2021-05-12
Registered in v-safe
-
2021-05-12
Survey response — day 7, dose 2MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Movement pain with armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
-
2021-05-21
Survey response — day 21, dose 2MedDRA: Injection site pain, Office visit, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pain throbbing upwards to my shoulder, pain in the arm where injections was administered, scheduled to see primary doctor next Thursday · Healthcare visit (other): Doctors office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-29
- 2021-06-13
-
2021-10-29
Survey response — 6 months, dose 2MedDRA: Administration site pain, Alopecia, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain in arm where second shot was administered continues to hurt causing pain with all movements, received cortisone shot but didn't stop the pain, have follow up with doctor and still experiencing great loss of hairMedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Survey response — 12 months, dose 2MedDRA: Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Arm hurtsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-04-30 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): Movement pain with arm
Release 8 — day 21, dose 2
Symptoms: Pain throbbing upwards to my shoulder, pain in the arm where injections was administered, scheduled to see primary doctor next Thursday
Healthcare visit (other): Doctors office visit
Release 10 — 6 months, dose 2
Symptoms: Pain in arm where second shot was administered continues to hurt causing pain with all movements, received cortisone shot but didn't stop the pain, have follow up with doctor and still experiencing great loss of hair
Release 11 — 12 months, dose 2
Symptoms: Arm hurts
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Administration site pain | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release