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YEP-10923-17120

2 vaccinations 5 coded responses 21 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
51-55
ZIP prefix
782 / TX
Registered
2021-02-05
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-05
    Registered in v-safe
  3. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Headache
    Free text: Swollen lymphnods
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Headache
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-23
    Dose 2 — Pfizer-BioNTech
  10. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  13. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  14. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-03-02
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  17. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-16
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Pain, Self-medication — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Joint pain in shoulder and elbow on the arm that I received my vaccination. I have to take advil or Aleve. As soon as it wears off pain returns. Unable to raise arm at times because of pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-23
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-03-30
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-24
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Mobility decreased, Muscular weakness, Office visit, Self-medication, Wrong technique in product usage process — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Persistent shoulder pain at vaccination site. I believe it is SIRVA due to injection being too high on the shoulder. Symptoms have been, limited arm mobility, weakness in arm, and persistent pain u responsive to any NSAID'S. · Healthcare visit (other): Office visit - primary care
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2021-08-24
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-08-31
  26. 2021-09-03
  27. 2022-02-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Pfizer-BioNTech
22021-02-23Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-08-24 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Swollen lymphnods

2021-02-06

Systemic reaction (other): Swollen lymph nodes

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Dizziness

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Joint pain in shoulder and elbow on the arm that I received my vaccination. I have to take advil or Aleve. As soon as it wears off pain returns. Unable to raise arm at times because of pain.

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Persistent shoulder pain at vaccination site. I believe it is SIRVA due to injection being too high on the shoulder. Symptoms have been, limited arm mobility, weakness in arm, and persistent pain u responsive to any NSAID'S.
Healthcare visit (other): Office visit - primary care

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
HCVOOffice visit ✓ · ✓
SDArthralgia ✓ ✓ ✓
SDMobility decreased ✓ · ✓
SDMuscular weakness ✓ · ✓
SDPain ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDWrong technique in product usage process ✓ · ✓
SRODizziness ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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

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