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XWU-25646-37061

2 vaccinations 4 coded responses 10 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
786 / TX
Registered
2021-03-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-14
    Registered in v-safe
  3. 2021-03-14
    Survey response — 14 day, dose 1
    MedDRA: Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-03-21
    Survey response — 21 day, dose 1
    MedDRA: Arthralgia, Injection site nodule, Injection site pain, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-03-21
    Report sent to call center — 21 day, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-24
    Dose 2 — Pfizer-BioNTech
  7. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Abdominal pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  10. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-31
    Health check-in — 7 day, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-07
    Health check-in — 14 day, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-04-16
    Health check-in — 21 day, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-04-21
    Health check-in — 28 day, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-12-29
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Pfizer-BioNTech
22021-03-24Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-03-21 Successful
2021-12-29
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5

Symptoms: After first vaccination, I experienced mild body aches within 6 hours. Body aches were severe after 12-14 hours and diminished after 20-22 hours. Also had slight headache and stomach upset. Symptoms lasted 3 days. I had COVID-19 in December 2020.

Release 6

Symptoms: Probably unrelated, but I have had pain in my left shoulder since 2-3 days after the injection. Seemed to radiate from the injection site, where I had a knot and pain for a week. No history of pain in that shoulder and no injury Im aware of.
Healthcare visit (other): In-office orthopedist.

Systemic reaction (other): Most of the above are almost back to normal following the vaccination except for shoulder pain in arm where injection was given. This started after first vaccination a month ago.

Systemic reaction (other): Mild bowel distress.

Free-text releases are not linked to a specific 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
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site nodule ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓

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