ZXJ-19941-41679

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 028 / RI
Registered: 2021-03-03

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-03
Registered in v-safe
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Mobility decreased — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: No pain at injection site BUT I have weakness and limitation of movement in that shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Injected limb mobility decreased — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Weakness and limited range of motion in shoulder of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Muscular weakness — Feeling: Good · Muscle or body aches, Abdominal pain

Free text: Weakness in shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injected limb mobility decreased, Muscular weakness — Feeling: Good · Fatigue or tiredness, Abdominal pain

Free text: Weakness and decreased range of motion in injection site shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 7, dose 1
MedDRA: Asthenia, Mobility decreased — Feeling: Good · Abdominal pain

Free text: Mild weakness and range of motion loss in the injection shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 21, dose 2
MedDRA: Arthralgia, Asthenia, Hypoaesthesia — Feeling: Good · Be unable to do your normal daily activities

Free text: The injection shoulder is very painful, as well as weak, and goes numb periodically

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 28, dose 2
MedDRA: Hypoaesthesia, Mobility decreased, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain, limited movement, numbness in left shoulder, arm I received vaccination in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 35, dose 2
MedDRA: Mobility decreased, Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Left arm (injection arm) still very painful, movements are limited, cannot use arm above shoulder, or make movements behind body. Dr has ordered an MRI questioning rotator cuff injury or injury to bursa from injection. · Healthcare visit (other): Primary care visit- MRI tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — day 42, dose 2
MedDRA: Arthralgia, Asthenia, Injection, Office visit, Rotator cuff syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased pain weakness and numbness in shoulder of injection site. MRI showed bone bruising at injection site and a partial tear of a tendon of rotator cuff with swelling and fluid buildup in shoulder Dr feels it was due to wrong needle placement · Healthcare visit (other): MRI and in person PCP visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Survey response — 6 months, dose 2
MedDRA: Fatigue, Haemorrhage urinary tract — Feeling: Fair · Be unable to do your normal daily activities

Free text: Urinary bleeding, ? of stones . Severe fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Survey response — 12 months, dose 2
MedDRA: Bladder disorder, Renal disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Kidney /bladder issues need to be addressed by doctor

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-22	Pfizer-BioNTech

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): No pain at injection site BUT I have weakness and limitation of movement in that shoulder

2021-03-05

Systemic reaction (other): Weakness and limited range of motion in shoulder of injection

2021-03-06

Systemic reaction (other): Weakness in shoulder.

2021-03-07

Systemic reaction (other): Weakness and decreased range of motion in injection site shoulder

Release 5 — day 7, dose 1

2021-03-08

Systemic reaction (other): Mild weakness and range of motion loss in the injection shoulder

Release 7 — day 21, dose 2

2021-04-12

Symptoms: The injection shoulder is very painful, as well as weak, and goes numb periodically

Release 7 — day 28, dose 2

2021-04-19

Symptoms: Pain, limited movement, numbness in left shoulder, arm I received vaccination in.

Release 8 — day 35, dose 2

2021-04-26

Symptoms: Left arm (injection arm) still very painful, movements are limited, cannot use arm above shoulder, or make movements behind body. Dr has ordered an MRI questioning rotator cuff injury or injury to bursa from injection.

Healthcare visit (other): Primary care visit- MRI tomorrow

Release 8 — day 42, dose 2

2021-05-03

Symptoms: Increased pain weakness and numbness in shoulder of injection site. MRI showed bone bruising at injection site and a partial tear of a tendon of rotator cuff with swelling and fluid buildup in shoulder Dr feels it was due to wrong needle placement

Healthcare visit (other): MRI and in person PCP visit

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: Urinary bleeding, ? of stones . Severe fatigue.

Release 11 — 12 months, dose 2

2022-03-22

Symptoms: Kidney /bladder issues need to be addressed by doctor

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Bladder disorder	·	·	✓
SD	Fatigue	·	·	✓
SD	Haemorrhage urinary tract	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Renal disorder	·	·	✓
SD	Rotator cuff syndrome	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓

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