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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

  1. 2021-03-22
    Registered in v-safe
  2. 2021-03-22
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-26
    Dose 2 — Pfizer-BioNTech
  10. 2021-05-03
    Survey response — day 7, dose 2
    MedDRA: Arthralgia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches
    Free text: Should joint hurts above where shot was given.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-10
    Survey response — day 14, dose 2
    MedDRA: Upper respiratory tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Upper respiratory infection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-10
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-05-17
    Survey response — day 21, dose 2
    MedDRA: Bronchitis, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Upper respiratory infection and bronchitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-17
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-05-24
    Survey response — day 28, dose 2
    MedDRA: 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 professional
    Free 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
  16. 2021-05-24
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-06-02
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-06-07
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-07-26
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free 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
  20. 2021-07-26
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-07-29
  22. 2021-10-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-12-15
  24. 2022-04-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Pfizer-BioNTech
22021-04-26Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 8 — day 7, dose 2

2021-05-03

Systemic reaction (other): Should joint hurts above where shot was given.

Release 8 — day 14, dose 2

2021-05-10

Symptoms: Upper respiratory infection.

Release 8 — day 21, dose 2

2021-05-17

Symptoms: Upper respiratory infection and bronchitis

Release 8 — day 28, dose 2

2021-05-24

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

2021-07-26

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVOPeriarthritis ✓ · ✓
HCVORespiratory disorder ✓ · ✓
SDBronchitis ✓ ✓ ✓
SDImmediate post-injection reaction ✓ · ✓
SDInflammation ✓ · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site inflammation ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDPeriarthritis ✓ ✓ ✓
SDRespiratory disorder ✓ · ✓
SDUpper respiratory tract infection ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓

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