23J-13504-77362
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 370 / TN
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Pfizer-BioNTech
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-31
- 2021-04-05
- 2021-04-12
-
2021-04-26
Dose 2 — Pfizer-BioNTech
-
2021-05-03
Survey response — day 7, dose 2MedDRA: Arthralgia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesFree text: Should joint hurts above where shot was given.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 14, dose 2MedDRA: Upper respiratory tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Upper respiratory infection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-17
Survey response — day 21, dose 2MedDRA: Bronchitis, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Upper respiratory infection and bronchitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-24
Survey response — day 28, dose 2MedDRA: Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site swelling, Injection site warmth, Office visit, Periarthritis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Frozen shoulder diagnosed in the arm where 2nd vaccination was given. After shot had major inflammatory reaction, itched, raised red and hot to touch circle around shot site. · Healthcare visit (other): Went to orthopedic doctors office.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-02
- 2021-06-07
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2021-07-26
Survey response — 3 months, dose 2MedDRA: Bronchitis, Immediate post-injection reaction, Inflammation, Office visit, Periarthritis, Respiratory disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Had inflammatory response to second vaccination. Upper respiratory issues, bronchitis for two months starting in May 2021. Immediately after second vaccination developed frozen shoulder in arm were vaccination was administered. · Healthcare visit (other): Three times to urgent care for upper respiratory and once to specialist regarding frozen shoulder.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-29
- 2021-10-25
- 2021-12-15
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Pfizer-BioNTech | |
| 2 | 2021-04-26 | Pfizer-BioNTech |
Call center
4 call center cases
4 unsuccessful
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): Should joint hurts above where shot was given.
Release 8 — day 14, dose 2
Symptoms: Upper respiratory infection.
Release 8 — day 21, dose 2
Symptoms: Upper respiratory infection and bronchitis
Release 8 — day 28, dose 2
Symptoms: Frozen shoulder diagnosed in the arm where 2nd vaccination was given. After shot had major inflammatory reaction, itched, raised red and hot to touch circle around shot site.
Healthcare visit (other): Went to orthopedic doctors office.
Release 9 — 3 months, dose 2
Symptoms: Had inflammatory response to second vaccination. Upper respiratory issues, bronchitis for two months starting in May 2021. Immediately after second vaccination developed frozen shoulder in arm were vaccination was administered.
Healthcare visit (other): Three times to urgent care for upper respiratory and once to specialist regarding frozen shoulder.
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 | ✓ | ✓ | ✓ |
| HCVO | Periarthritis | ✓ | · | ✓ |
| HCVO | Respiratory disorder | ✓ | · | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | · | ✓ |
| SD | Inflammation | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site inflammation | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Periarthritis | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | ✓ | · | ✓ |
| SD | Upper respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release