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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

  1. 2021-01-02
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-03
    Registered in v-safe
  3. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Burning arm pain from my shoulder to my fingers not associated with injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-01-06
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-01-07
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  10. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Continue to have arm pain with limited range of motion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-08
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  12. 2021-01-09
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-01-09
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  14. 2021-01-16
    Survey response — day 14, dose 1
    MedDRA: 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 professional
    Free 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 exam
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-16
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-01-25
    Survey response — day 21, dose 1
    MedDRA: Medical counselling, Muscle spasms, Tendonitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free 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 shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-25
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-02-09
    Survey response — day 35, dose 1
    MedDRA: 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 professional
    Free 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 physician
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-09
    Report sent to call center — day 35, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-02-13
    Survey response — day 42, dose 1
    MedDRA: 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 professional
    Free 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 exams
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-13
    Report sent to call center — day 42, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-03-12
  23. 2021-03-17
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  24. 2021-04-04
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-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

2021-01-03

Systemic reaction (other): Burning arm pain from my shoulder to my fingers not associated with injection site

2021-01-08

Systemic reaction (other): Continue to have arm pain with limited range of motion

Release 2 — day 14, dose 1

2021-01-16

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

2021-01-25

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

2021-02-09

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

2021-02-13

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDJoint impingement ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRotator cuff syndrome ✓ ✓ ✓
SDTendonitis ✓ ✓ ✓
SROJoint range of motion decreased ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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