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Y79-32498-41595

2 vaccinations 5 coded responses 5 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
546 / WI
Registered
2021-05-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-12
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-14
    Registered in v-safe
  4. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary mass, Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Golf ball size lump on armpit of same arm of injection. Arm has been very sore. Side ache like how it feels when you drink a lot of water and then run.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary mass, Axillary pain — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain
    Free text: Golfball size lump on armpit still. Sore like I got punched
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-08-13
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Flank pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Side and back stabbing pains since 2 weeks after 2nd dose. Its been 3 months and still pains
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-11-11
    Survey response — 6 months, dose 2
    MedDRA: Flank pain, Insomnia, Office visit, Sleep disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Side pain still since May when I had 2nd pfizer doze. Hard time sleeping because the pain wakes me up. Have spent a lot of money on doctor bills trying to figure out the issue. Have been trying natural vitamins and diet change.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-11
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  9. 2021-11-12
  10. 2021-11-16
  11. 2022-05-12
    Survey response — 12 months, dose 2
    MedDRA: Gallbladder disorder, Haematuria, Renal neoplasm, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Symptoms: Blood in urine, lesion on kidney, gallbladder working at 8%. Having ut taken out Monday. All this started after my 2nd pfizer shot in May 2021 · Healthcare visit (other): Will have surgery Monday
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-05-12
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  13. 2022-05-13
  14. 2022-05-13

Vaccinations

DoseDateManufacturerCo-administered
12021-04-21Pfizer-BioNTech
22021-05-12Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-11-11 Unsuccessful
2022-05-12 Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Golf ball size lump on armpit of same arm of injection. Arm has been very sore. Side ache like how it feels when you drink a lot of water and then run.

2021-05-15

Systemic reaction (other): Golfball size lump on armpit still. Sore like I got punched

Release 9 — 3 months, dose 2

2021-08-13

Symptoms: Side and back stabbing pains since 2 weeks after 2nd dose. Its been 3 months and still pains

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: Side pain still since May when I had 2nd pfizer doze. Hard time sleeping because the pain wakes me up. Have spent a lot of money on doctor bills trying to figure out the issue. Have been trying natural vitamins and diet change.

Release 11 — 12 months, dose 2

2022-05-12

Symptoms: Blood in urine, lesion on kidney, gallbladder working at 8%. Having ut taken out Monday. All this started after my 2nd pfizer shot in May 2021
Healthcare visit (other): Will have surgery Monday

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
HCVOUnevaluable event · · ✓
SDBack pain ✓ · ✓
SDFlank pain ✓ · ✓
SDGallbladder disorder · · ✓
SDHaematuria · · ✓
SDInsomnia · · ✓
SDOffice visit · · ✓
SDRenal neoplasm · · ✓
SDSleep disorder · · ✓
SROAxillary mass ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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