YKE-31969-76413
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 356 / AL
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Pfizer-BioNTech
-
2021-03-30
Registered in v-safe
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
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2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: The pain in my arm is worse at rest then when using.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Initial insomnia, Injection site pain — Feeling: Good · Site: PainFree text: The pain at the injection site was worse last hindering me from falling asleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — day 7, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: The pain at the injection site is better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
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2021-04-19
Dose 2 — Pfizer-BioNTech
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2021-04-19
Survey response — day 0, dose 2MedDRA: Arthralgia, Medical counselling, Myalgia — Feeling: Good · Site: PainFree text: Since Ive had my first shot Ive noticed that I have pain in my deltoid muscle and in my shoulder joint. I reported it to the nurse and We decided since Im not absolutely sure its vaccination related that I would put it in my report here.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-04-21
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Muscle discomfort, Myalgia, Pain — Feeling: Fair · Site: PainFree text: Pain in the whole deltoid muscle not just at injection site. The discomfort is worse at rest. I know that doesnt make sense. I was walking in a store with my arm just hanging straight when the throbbing pain began. It eased when I started moving it around.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Joint painsFree text: Shoulder joint on same side as shot. Mild up to moderate at timesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: So much better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
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2021-10-18
Survey response — 6 months, dose 2MedDRA: COVID-19, Sinusitis, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Sinus infection/covid · Healthcare visit (other): Infusion roomMedDRA releases: 2024-11 · check-in free text available
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2021-10-18
Report sent to call center — 6 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 · Emergency room or emergency department visit · 1 call case(s)
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2021-10-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-18 | Successful 2021-10-19 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): The pain in my arm is worse at rest then when using.
Systemic reaction (other): The pain at the injection site was worse last hindering me from falling asleep.
Release 6 — day 7, dose 1
Systemic reaction (other): The pain at the injection site is better today.
Release 7 — day 0, dose 2
Systemic reaction (other): Since Ive had my first shot Ive noticed that I have pain in my deltoid muscle and in my shoulder joint. I reported it to the nurse and We decided since Im not absolutely sure its vaccination related that I would put it in my report here.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in the whole deltoid muscle not just at injection site. The discomfort is worse at rest. I know that doesnt make sense. I was walking in a store with my arm just hanging straight when the throbbing pain began. It eased when I started moving it around.
Systemic reaction (other): Shoulder joint on same side as shot. Mild up to moderate at times
Systemic reaction (other): So much better today
Release 10 — 6 months, dose 2
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 | COVID-19 | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Initial insomnia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Muscle discomfort | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release