4VB-14360-29536
4 vaccinations
3 coded responses
35 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Pfizer-BioNTech
-
2021-03-02
Registered in v-safe
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Breast pain, Pain — Feeling: Fair · Site: PainFree text: Aching on outer side of left breast and toward underarmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-15
-
2021-03-19
Dose 2 — Pfizer-BioNTech
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
- 2021-09-18
-
2021-09-24
Dose 3 — Pfizer-BioNTech
- 2021-10-02
- 2021-10-08
- 2021-10-17
- 2021-10-22
- 2021-10-29
- 2021-11-05
-
2021-12-24
Survey response — 3 months, dose 3MedDRA: Arthralgia, Flank pain, Myalgia, Pain in extremity — Feeling: FairFree text: Aching pain down right side, shoulder joint, shoulder muscle, wrist, hand, hip joint, leg muscles, ankle . Had booster in right arm.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-25
Survey response — 6 months, dose 3MedDRA: Arthralgia, Myalgia, Self-medication, Sleep disorder — Feeling: GoodFree text: Muscle and joint pain from shoulder to ankle on my right side. Mostly at night and severe enough to keep me awake. Tylenol helps but does not control the pain. My booster shot was on my right side and the pain started afterwards.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-09
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-24
- 2022-10-10
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
| 4 | 2022-09-09 | Pfizer-BioNTech | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Aching on outer side of left breast and toward underarm
Release 10 — 3 months, dose 3
Symptoms: Aching pain down right side, shoulder joint, shoulder muscle, wrist, hand, hip joint, leg muscles, ankle . Had booster in right arm.
Release 11 — 6 months, dose 3
Symptoms: Muscle and joint pain from shoulder to ankle on my right side. Mostly at night and severe enough to keep me awake. Tylenol helps but does not control the pain. My booster shot was on my right side and the pain started afterwards.
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 | Flank pain | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release