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5NY-12727-10852

3 vaccinations 17 coded responses 36 check-ins 17 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
906 / CA
Registered
2021-02-06
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-06
    Registered in v-safe
  2. 2021-02-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-06
    Survey response — day 0, dose 1
    MedDRA: Headache, Nausea — Feeling: Good · Headache
    Free text: Mild head ache. But 30mins after I got the shot I felt my face a little hot and a bit nauseous.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Pain in extremity — Feeling: Good · Site: Pain · Headache
    Free text: Mild headache and sore arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  6. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-27
    Dose 2 — Pfizer-BioNTech
  10. 2021-02-27
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  11. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  13. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-28
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Hypoaesthesia, Neck pain, Pain, Pain in extremity, Swelling — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Im having horrible pain from my side neck to my shoulder and I have a bump. And I have it on both sides. And mi middle finger from both hands same thing it hurts to move it and they get numb . Theres days I cant even move arms becuse of the
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2021-10-05
    Dose 3 — Pfizer-BioNTech
  26. 2021-10-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Mobility decreased — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: I can not move my left arm across to touch my right shoulder
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Swelling, Itching · Diarrhea · Be unable to do your normal daily activities
    Free text: Left Arm hurts to reach to my right side
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain, Pain in extremity — Feeling: Poor · Site: Redness, Swelling, Itching · Nausea · Be unable to do your normal daily activities
    Free text: My left arm still hurts A lot to reach over to my right side
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain, Pain in extremity — Feeling: Poor · Site: Redness, Swelling
    Free text: My left arm still hurts a lot specially when I try to reach to my right side
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Mobility decreased, Musculoskeletal pain, Pain in extremity — Feeling: Fair · Site: Swelling
    Free text: Pain on My left armfrom shoulder blade can't reach up high on that arm and I can't reach to my right side, and my pain is getting worse
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Mobility decreased, Pain in extremity — Feeling: Fair · Site: Swelling
    Free text: My left arm is still in pain and I'm still not able to to reach to my right side with left arm
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-12
    Survey response — day 7, dose 3
    MedDRA: Pain in extremity — Feeling: Fair · Site: Swelling
    Free text: Left arm In pain
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-19
    Survey response — day 14, dose 3
    MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My left arm is hurting more
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-26
    Survey response — day 21, dose 3
    MedDRA: Hypoaesthesia, Induration, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Left arm is still hurting a lot and I have a hard numb on my left side by shoulder blade
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-02
    Survey response — day 28, dose 3
    MedDRA: Mobility decreased, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My left arm is hurting worse and I'm still not able to reach to the right side like I was able to do before
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-09
    Survey response — day 35, dose 3
    MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Yea my left arm hurts even more
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-11-17
    Survey response — day 42, dose 3
    MedDRA: Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My left arm hurt even more. Now Idont even have to move it for it to start hurting
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-01-04
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  39. 2022-04-05
    Survey response — 6 months, dose 3
    MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My left arm is still hurting and my left index finger I get like a really bad pain when I try to carry something with weight
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-10-05
    Survey response — 12 months, dose 3
    MedDRA: Balance disorder, Musculoskeletal pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My balance is so off, and my left shoulder blade still hurts
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Pfizer-BioNTech
22021-02-27Pfizer-BioNTech
32021-10-05Pfizer-BioNTech No

Free text

Release 3 — day 0, dose 1

2021-02-06

Systemic reaction (other): Mild head ache. But 30mins after I got the shot I felt my face a little hot and a bit nauseous.

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Mild headache and sore arm

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Im having horrible pain from my side neck to my shoulder and I have a bump. And I have it on both sides. And mi middle finger from both hands same thing it hurts to move it and they get numb . Theres days I cant even move arms becuse of the

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): I can not move my left arm across to touch my right shoulder

2021-10-07

Systemic reaction (other): Left Arm hurts to reach to my right side

2021-10-08

Systemic reaction (other): My left arm still hurts A lot to reach over to my right side

2021-10-09

Systemic reaction (other): My left arm still hurts a lot specially when I try to reach to my right side

2021-10-10

Systemic reaction (other): Pain on My left armfrom shoulder blade can't reach up high on that arm and I can't reach to my right side, and my pain is getting worse

2021-10-11

Systemic reaction (other): My left arm is still in pain and I'm still not able to to reach to my right side with left arm

Release 10 — day 7, dose 3

2021-10-12

Systemic reaction (other): Left arm In pain

Release 10 — day 14, dose 3

2021-10-19

Symptoms: My left arm is hurting more

Release 10 — day 21, dose 3

2021-10-26

Symptoms: Left arm is still hurting a lot and I have a hard numb on my left side by shoulder blade

Release 10 — day 28, dose 3

2021-11-02

Symptoms: My left arm is hurting worse and I'm still not able to reach to the right side like I was able to do before

Release 10 — day 35, dose 3

2021-11-09

Symptoms: Yea my left arm hurts even more

Release 10 — day 42, dose 3

2021-11-17

Symptoms: My left arm hurt even more. Now Idont even have to move it for it to start hurting

Release 11 — 6 months, dose 3

2022-04-05

Symptoms: My left arm is still hurting and my left index finger I get like a really bad pain when I try to carry something with weight

Release 12 — 12 months, dose 3

2022-10-05

Symptoms: My balance is so off, and my left shoulder blade still hurts

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
SDArthralgia ✓ · ✓
SDBalance disorder · · ✓
SDHypoaesthesia ✓ · ✓
SDInduration · · ✓
SDMobility decreased · · ✓
SDMusculoskeletal pain · · ✓
SDNeck pain ✓ · ✓
SDPain ✓ · ✓
SDPain in extremity ✓ · ✓
SDSwelling ✓ · ✓
SROHeadache ✓ ✓ ✓
SROMobility decreased · · ✓
SROMusculoskeletal pain · · ✓
SRONausea ✓ ✓ ✓
SROPain · · ✓
SROPain in extremity ✓ ✓ ✓

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

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