5AG-11278-40679

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 5 call cases

Sex: —
Age at first dose: 41-45
ZIP prefix: 430 / OH
Registered: 2021-04-01

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Muscle or body aches

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Erythema, Pain in extremity, Peripheral swelling — Feeling: Fair

Free text: Red swollen painful area on arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Survey response — day 0, dose 2
MedDRA: Arthralgia, No reaction on previous exposure to drug — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Significant shoulder pain not like any vaccine Ive ever had

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Pain in extremity, Unevaluable event — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My whole arm hurts pretty bad and my hand is intermittently going numb · Healthcare visit (other): Tried to schedule but cant get in until next week. Will see doctor may 5

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 7, dose 2
MedDRA: Arthralgia, Hypoaesthesia, Pain in extremity — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Numbness and pain shoulder and all down the arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 14, dose 2
MedDRA: Hypoaesthesia, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My arm numbness is getting worse, enough I had to discuss with my doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Survey response — day 21, dose 2
MedDRA: Hypoaesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Arm still going numb with any forward movement, getting worse over time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Survey response — day 28, dose 2
MedDRA: Hypoaesthesia, Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Numbness and pain in arm still a problem · Healthcare visit (other): X-rays and imaging scheduled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Survey response — day 42, dose 2
MedDRA: Hypoaesthesia, Unevaluable event — 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 visit

Free text: Symptoms: numbness in left arm with movement · Healthcare visit (other): X rays, vascular study

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-11
Dose 3 — Pfizer-BioNTech
2021-12-29
Call 1 — Left Voicemail
2022-04-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-13
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2021-12-11	Pfizer-BioNTech	No

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Red swollen painful area on arm

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): Significant shoulder pain not like any vaccine Ive ever had

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): My whole arm hurts pretty bad and my hand is intermittently going numb

Healthcare visit (other): Tried to schedule but cant get in until next week. Will see doctor may 5

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Numbness and pain shoulder and all down the arm

Release 8 — day 14, dose 2

2021-05-06

Symptoms: My arm numbness is getting worse, enough I had to discuss with my doctor

Release 8 — day 21, dose 2

2021-05-13

Symptoms: Arm still going numb with any forward movement, getting worse over time

Release 8 — day 28, dose 2

2021-05-20

Symptoms: Numbness and pain in arm still a problem

Healthcare visit (other): X-rays and imaging scheduled

Release 8 — day 42, dose 2

2021-06-03

Symptoms: numbness in left arm with movement

Healthcare visit (other): X rays, vascular study

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	Erythema	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	No reaction on previous exposure to drug	·	·	✓
SRO	Pain in extremity	✓	✓	✓

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