4Y5-18891-30625
2 vaccinations
6 coded responses
10 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 088 / NJ
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Pfizer-BioNTech
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 2 — Pfizer-BioNTech
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-04-15
Survey response — day 14, dose 2MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: extended pain in my right arm where the first shot went in. experiencing pain and numbness in certain areas and dropping itemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-26
Survey response — day 21, dose 2MedDRA: Condition aggravated, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Shot triggered CRPS. Pain in right arm of first shot 3/9MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
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)
-
2021-04-27
Survey response — day 28, dose 2MedDRA: Brain fog, Fatigue, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: eye fatigue and brain fog, still significant pain in my right arm from first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
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)
-
2021-05-04
Survey response — day 35, dose 2MedDRA: Immunisation reaction, Inflammation, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Arm post covid shot inflammation reaching neck and back · Healthcare visit (other): PTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-13
-
2021-06-29
Survey response — 3 months, dose 2MedDRA: Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My arm is getting worse 3 months later. No doctor has come up with a response. The CDC has not contacted me yetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-28
Survey response — 6 months, dose 2MedDRA: Disability, Impaired work ability, Periarthritis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I am still suffering from frozen shoulder from the first injection and was out of work on disability for 8 weeks. No one has contacted me,MedDRA releases: 2024-11 · check-in free text available
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Pfizer-BioNTech | |
| 2 | 2021-03-30 | Pfizer-BioNTech |
Call center
4 call center cases
4 successful
1 wait over 3 months for a first call
Free text
Release 7 — day 14, dose 2
Symptoms: extended pain in my right arm where the first shot went in. experiencing pain and numbness in certain areas and dropping items
Release 8 — day 21, dose 2
Symptoms: Shot triggered CRPS. Pain in right arm of first shot 3/9
Release 8 — day 28, dose 2
Symptoms: eye fatigue and brain fog, still significant pain in my right arm from first shot
Release 8 — day 35, dose 2
Symptoms: Arm post covid shot inflammation reaching neck and back
Healthcare visit (other): PT
Release 9 — 3 months, dose 2
Symptoms: My arm is getting worse 3 months later. No doctor has come up with a response. The CDC has not contacted me yet
Release 9 — 6 months, dose 2
Symptoms: I am still suffering from frozen shoulder from the first injection and was out of work on disability for 8 weeks. No one has contacted me,
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Disability | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Periarthritis | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release