Z8M-16909-75392
1 vaccination
6 coded responses
11 check-ins
6 free-text entries
9 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 153 / PA
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-02
Dose 1 — Pfizer-BioNTech
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2021-01-03
Registered in v-safe
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pain in extremity — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Burning arm pain from my shoulder to my fingers not associated with injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-06
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-01-07
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Joint range of motion decreased, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Continue to have arm pain with limited range of motionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-09
Health check-in — day 7, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-09
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-16
Survey response — day 14, dose 1MedDRA: Arthralgia, Impaired work ability, Joint impingement, Office visit, Rotator cuff syndrome — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Rotator cuff impingement/tear consistent w/ vaccine inj. Pain began immediately after inj 2 wks ago. Saw physician & now taking 12 days of steroids. Very limiting for my work as a dentist & daily life in general. Im considering forgoing 2nd dose · Healthcare visit (other): Physician examMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-25
Survey response — day 21, dose 1MedDRA: Medical counselling, Muscle spasms, Tendonitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Left arm/ shoulder inflammation with hand cramping. Prednisone rx given by pcpIm a dentist and it has been very difficult to work · Healthcare visit (other): PCP and orthopedic surgeon to evaluate my shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-09
Survey response — day 35, dose 1MedDRA: Arthralgia, Impaired work ability, Muscle spasms, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Shoulder & arm pain with cramping pinkie continues after 2nd round of steroids. Continuing to consult with physician & orthopedic surgeon . Struggle to work · Healthcare visit (other): Steroid injection, multiple appointments with physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — day 35, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-13
Survey response — day 42, dose 1MedDRA: Arthralgia, Asthenia, Impaired work ability, Mobility decreased, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Shoulder pain with weakness and decreasing mobility. Difficult to work as a dentist and to exercise the way I was prior to my vaccination · Healthcare visit (other): In person physician examsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Report sent to call center — day 42, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-12
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2021-03-17
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-03 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-06 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-07 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-08 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-09 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-16 | Successful 2021-03-17 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-25 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-02-09 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-02-13 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Burning arm pain from my shoulder to my fingers not associated with injection site
Systemic reaction (other): Continue to have arm pain with limited range of motion
Release 2 — day 14, dose 1
Symptoms: Rotator cuff impingement/tear consistent w/ vaccine inj. Pain began immediately after inj 2 wks ago. Saw physician & now taking 12 days of steroids. Very limiting for my work as a dentist & daily life in general. Im considering forgoing 2nd dose
Healthcare visit (other): Physician exam
Release 2 — day 21, dose 1
Symptoms: Left arm/ shoulder inflammation with hand cramping. Prednisone rx given by pcpIm a dentist and it has been very difficult to work
Healthcare visit (other): PCP and orthopedic surgeon to evaluate my shoulder
Release 3 — day 35, dose 1
Symptoms: Shoulder & arm pain with cramping pinkie continues after 2nd round of steroids. Continuing to consult with physician & orthopedic surgeon . Struggle to work
Healthcare visit (other): Steroid injection, multiple appointments with physician
Release 4 — day 42, dose 1
Symptoms: Shoulder pain with weakness and decreasing mobility. Difficult to work as a dentist and to exercise the way I was prior to my vaccination
Healthcare visit (other): In person physician exams
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Joint impingement | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rotator cuff syndrome | ✓ | ✓ | ✓ |
| SD | Tendonitis | ✓ | ✓ | ✓ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release