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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

  1. 2021-04-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-30
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-12
    Registered in v-safe
  4. 2021-05-12
    Survey response — day 7, dose 2
    MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Movement pain with arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-05-21
    Survey response — day 21, dose 2
    MedDRA: Injection site pain, Office visit, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free 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 visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-21
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-05-29
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-06-13
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-10-29
    Survey response — 6 months, dose 2
    MedDRA: Administration site pain, Alopecia, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free 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 hair
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-05-02
    Survey response — 12 months, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Arm hurts
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-05-02
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  13. 2022-05-03

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Pfizer-BioNTech
22021-04-30Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): Movement pain with arm

Release 8 — day 21, dose 2

2021-05-21

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

2021-10-29

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

2022-05-02

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAdministration site pain · · ✓
SDAlopecia · · ✓
SDInjection site pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity · · ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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