ZFB-28490-78971
2 vaccinations
7 coded responses
15 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 113 / NY
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-09
Dose 1 — Moderna
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2021-02-17
Registered in v-safe
- 2021-02-17
- 2021-02-25
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2021-03-02
Dose 2 — Pfizer-BioNTech
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2021-03-03
Survey response — day 21, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Yesterday After 2nd Pfizer dose, there is minor joints pains on both elbows developing today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Injection site reaction, Skin reaction — Feeling: Good · Site: Redness · Joint pains, Rash, not including the immediate area around the injection siteFree text: Note: my 1st dose reported Moderna is wrong. It should be Pfizer!!! with Pfizer 2nd dose ... develop similar symptoms similar to Moderna that have developed a delayed skin reaction to the jab days after receiving it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Rash — Feeling: Good · Joint pains, Rash, not including the immediate area around the injection siteFree text: After Pfizer 2nd dose, the elbow joints developed pain a day later and minor rash on belly developed after 3 days and arm. Today all feel like to be gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-18
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 42, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: GoodFree text: Uncomfortable Joints pain in both arms and legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Joint pain in early stage after vaccinated but getting better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-31
Survey response — 6 months, dose 2MedDRA: Pain in extremity, Pelvic pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My left leg and pelvis area experiencing acute painMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-03-02
Survey response — 12 months, dose 2MedDRA: Gait disturbance, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I developed problem on my left foot after 2nd dose of PfIzer until today not sure it is a blood clot ? It is getting a bit improve but still have issues in walking my booster shot is Modern.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-02 | Pfizer-BioNTech |
Free text
Release 5 — day 21, dose 1
Symptoms: Yesterday After 2nd Pfizer dose, there is minor joints pains on both elbows developing today.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Note: my 1st dose reported Moderna is wrong. It should be Pfizer!!! with Pfizer 2nd dose ... develop similar symptoms similar to Moderna that have developed a delayed skin reaction to the jab days after receiving it.
Systemic reaction (other): After Pfizer 2nd dose, the elbow joints developed pain a day later and minor rash on belly developed after 3 days and arm. Today all feel like to be gone.
Release 7 — day 42, dose 2
Symptoms: Uncomfortable Joints pain in both arms and legs
Release 8 — 3 months, dose 2
Symptoms: Joint pain in early stage after vaccinated but getting better now.
Release 9 — 6 months, dose 2
Symptoms: My left leg and pelvis area experiencing acute pain
Release 11 — 12 months, dose 2
Symptoms: I developed problem on my left foot after 2nd dose of PfIzer until today not sure it is a blood clot ? It is getting a bit improve but still have issues in walking my booster shot is Modern.
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pelvic pain | ✓ | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Adverse reaction | ○ | ✓ | ○ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ○ | ✓ | ○ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Skin reaction | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release