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
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2021-04-21
Dose 1 — Pfizer-BioNTech
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2021-05-12
Dose 2 — Pfizer-BioNTech
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2021-05-14
Registered in v-safe
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2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Axillary mass, Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal painFree 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
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2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Axillary mass, Axillary pain — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal painFree text: Golfball size lump on armpit still. Sore like I got punchedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-13
Survey response — 3 months, dose 2MedDRA: Back pain, Flank pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Side and back stabbing pains since 2 weeks after 2nd dose. Its been 3 months and still painsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-11
Survey response — 6 months, dose 2MedDRA: Flank pain, Insomnia, Office visit, Sleep disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2021-11-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-12
- 2021-11-16
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2022-05-12
Survey response — 12 months, dose 2MedDRA: 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, HospitalizationFree 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 MondayMedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-05-13
- 2022-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Pfizer-BioNTech | |
| 2 | 2021-05-12 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-11 | Unsuccessful | |
| 2022-05-12 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
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.
Systemic reaction (other): Golfball size lump on armpit still. Sore like I got punched
Release 9 — 3 months, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Back pain | ✓ | · | ✓ |
| SD | Flank pain | ✓ | · | ✓ |
| SD | Gallbladder disorder | · | · | ✓ |
| SD | Haematuria | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Renal neoplasm | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SRO | Axillary mass | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release