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5FA-31613-18841

1 vaccination 3 coded responses 4 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
787 / TX
Registered
2021-06-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-25
    Registered in v-safe
  3. 2021-06-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Breast pain, Musculoskeletal pain, Pain, Pain in extremity, Pain in jaw — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Pain is radiating from my left arm to my left collarbone, left breast, left shoulder blade, left armpit, and left jawbone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-06-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Axillary pain, Breast pain, Musculoskeletal pain, Oedema peripheral, Pain, Pain in extremity, Peripheral swelling, Rash — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Pain radiating from my left arm to my left breast, left collarbone, left armpit, left shoulder blade. Rash down my left arm. Swelling down my left arm. Swollen armpit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-16
    Health check-in — day 21, dose 1
    Feeling: Poor
    Adult check-in
  6. 2021-07-31
    Survey response — day 35, dose 1
    MedDRA: Axillary pain, Breast pain, Hypoaesthesia, Inflammation, Pain in jaw, Rash — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Pain in my armpit is not improving. It started when I got the vaccine, along with a rash down my arm with inflammation. Also still have pain in my left breast which started the day I got the vaccine. Also still have pain and numbness in my left jaw.
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-06-23Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-25

Systemic reaction (other): Pain is radiating from my left arm to my left collarbone, left breast, left shoulder blade, left armpit, and left jawbone.

2021-06-26

Systemic reaction (other): Pain radiating from my left arm to my left breast, left collarbone, left armpit, left shoulder blade. Rash down my left arm. Swelling down my left arm. Swollen armpit.

Release 9 — day 35, dose 1

2021-07-31

Symptoms: Pain in my armpit is not improving. It started when I got the vaccine, along with a rash down my arm with inflammation. Also still have pain in my left breast which started the day I got the vaccine. Also still have pain and numbness in my left jaw. cut off by CDC

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
SDAxillary pain ✓ · ✓
SDBreast pain ✓ · ✓
SDHypoaesthesia ✓ · ✓
SDInflammation ✓ · ✓
SDPain in jaw ✓ · ✓
SDRash ✓ · ✓
SROArthralgia ✓ ✓ ○
SROAxillary pain ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SROMusculoskeletal pain ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SRORash · · ✓

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