4TH-34218-10961
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 880 / NM
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Pfizer-BioNTech
-
2021-04-28
Registered in v-safe
-
2021-04-28
Dose 2 — Pfizer-BioNTech
- 2021-04-28
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Pain in extremity, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: Extreme left arm pain. Deep pain. Unable to move arm most directions especially at my side. Pain is between my elbow and my shoulder on same side as the injection arm. I was unable to sleep last night because of this. Unable to turn from side to side in bed because of it. Unable to do much of anymore today. Pain began last night about 8pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, NauseaAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
-
2021-05-12
Survey response — day 14, dose 2MedDRA: Arthralgia, Myalgia, Pre-existing disease — 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 visitFree text: I am now hypothyroid, my TSH is elevated and my thyroid antibodies are also elevated. This actually happened after my first vaccine and is still abnormal. I was not hypothyroid before.also quite a bit of joint and muscle pains. Lt wrist is real bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-19
-
2021-05-26
Survey response — day 28, dose 2MedDRA: Arthralgia, Fatigue, Hypersomnia — 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 visitFree text: Very fatigued. Exhausted after doing very little such as going to the stores or housework. Also after taking a trip as well. I am just tired of being tired. Taking a lot of naps also. Left wrist pain and bilateral shoulder pains.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-02
- 2021-06-09
-
2021-07-28
Survey response — 3 months, dose 2MedDRA: Iron deficiency anaemia — 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 visitFree text: Iron deficiency anemiaMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-28
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
- 2021-09-01
-
2021-09-01
Call successfulParticipant prefers to complete VAERS report online
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2021-10-27
Survey response — 6 months, dose 2MedDRA: Gastritis, Hiatus hernia, Peptic ulcer, Pylorus dilatation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Gastritis, hiatal hernia, peptic ulcer disease, thickening of the pylorus.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-28
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 1
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme left arm pain. Deep pain. Unable to move arm most directions especially at my side. Pain is between my elbow and my shoulder on same side as the injection arm. I was unable to sleep last night because of this. Unable to turn from side to side in bed because of it. Unable to do much of anymore today. Pain began last night about 8pm
Release 8 — day 14, dose 2
Symptoms: I am now hypothyroid, my TSH is elevated and my thyroid antibodies are also elevated. This actually happened after my first vaccine and is still abnormal. I was not hypothyroid before.also quite a bit of joint and muscle pains. Lt wrist is real bad. cut off by CDC
Release 8 — day 28, dose 2
Symptoms: Very fatigued. Exhausted after doing very little such as going to the stores or housework. Also after taking a trip as well. I am just tired of being tired. Taking a lot of naps also. Left wrist pain and bilateral shoulder pains.
Release 9 — 3 months, dose 2
Symptoms: Iron deficiency anemia
Release 10 — 6 months, dose 2
Symptoms: Gastritis, hiatal hernia, peptic ulcer disease, thickening of the pylorus.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastritis | · | · | ✓ |
| SD | Hiatus hernia | · | · | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ○ |
| SD | Iron deficiency anaemia | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Peptic ulcer | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pylorus dilatation | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release