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
-
2021-03-20
Dose 1 — Pfizer-BioNTech
-
2021-04-03
Dose 2 — Pfizer-BioNTech
-
2021-05-10
Registered in v-safe
-
2021-05-10
Survey response — day 35, dose 2MedDRA: 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 visitFree 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
-
2021-05-10
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-15
Survey response — day 42, dose 2MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
-
2021-07-03
Survey response — 3 months, dose 2MedDRA: 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 visitFree 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 surgeonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-03
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Pfizer-BioNTech | |
| 2 | 2021-04-03 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-10 | Unsuccessful | |
| 2021-07-03 | Unsuccessful |
Free text
Release 8 — day 35, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Limb mass | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Nodule | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SD | Vein disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release