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ZL4-17049-43603

2 vaccinations 3 coded responses 3 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
853 / AZ
Registered
2021-05-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-03
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-10
    Registered in v-safe
  4. 2021-05-10
    Survey response — day 35, dose 2
    MedDRA: Chills, Dizziness, Mobility decreased, Myalgia, Nausea, Nodule, Tremor — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: 16 hrs after 2nd dose- chills, shaking, dizzy, nausea, cold sweats. In 5 days, golf ball-sized lump formed between neck and collar bone. Unable to turn head, saw heart beat in throat. Still have sharp pain in arm muscle, can't straighten or raise it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-10
    Report sent to call center — day 35, dose 2
    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)
  6. 2021-05-15
    Survey response — day 42, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Can't straighten my arm. It feels like a tight rubber band that will snap if I stretch my arm or try to put it above my head.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-07-03
    Survey response — 3 months, dose 2
    MedDRA: Limb mass, Mass, Office visit, Vein disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Lump traveled down my arm and into my hand, and my veins bulge out. Now under the care of a hand surgeon and have to have an MRI. And still paying for all of it! · Healthcare visit (other): Urgent Care (useless!) and a hand surgeon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-07-03
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-07-08

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Pfizer-BioNTech
22021-04-03Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-05-10 Unsuccessful
2021-07-03 Unsuccessful

Free text

Release 8 — day 35, dose 2

2021-05-10

Symptoms: 16 hrs after 2nd dose- chills, shaking, dizzy, nausea, cold sweats. In 5 days, golf ball-sized lump formed between neck and collar bone. Unable to turn head, saw heart beat in throat. Still have sharp pain in arm muscle, can't straighten or raise it. cut off by CDC

Release 8 — day 42, dose 2

2021-05-15

Symptoms: Can't straighten my arm. It feels like a tight rubber band that will snap if I stretch my arm or try to put it above my head.

Release 9 — 3 months, dose 2

2021-07-03

Symptoms: Lump traveled down my arm and into my hand, and my veins bulge out. Now under the care of a hand surgeon and have to have an MRI. And still paying for all of it!
Healthcare visit (other): Urgent Care (useless!) and a hand surgeon

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 ✓ ✓ ✓
SDAdverse reaction ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDLimb mass ✓ ✓ ✓
SDMass ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDNodule ✓ ✓ ✓
SDTremor ✓ ✓ ✓
SDVein disorder ✓ ✓ ✓

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