289-16500-23234
4 vaccinations
5 coded responses
41 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 636 / MO
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Pfizer-BioNTech
-
2021-02-04
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Injection site pain — Feeling: Good · Site: Pain · Joint painsFree text: Just sore injection site to shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-13
- 2021-02-18
-
2021-02-25
Dose 2 — Pfizer-BioNTech
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Bursitis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bursitis of my left shoulder · Healthcare visit (other): Primary Dr and NPMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
-
2021-09-25
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Survey response — day 7, dose 3MedDRA: Fatigue, Headache, Injection site pain, Injection site swelling, Injection site warmth — Feeling: GoodFree text: This came 7 days after vaccine. For 4 days I had a very sore arm at site with area hot and swollen. Extreme fatigue for 3-4 days. Headache 2 days after vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
- 2021-10-16
-
2021-10-23
Survey response — day 28, dose 3MedDRA: Arthritis, Magnetic resonance imaging abnormal, Office visit, Rotator cuff syndrome — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My left shoulder has never felt right since second shot. Feels comparable to severe bursitis. Had cortisone injection helped a bit Had mri. Showed inflammation and tendinitis. Injection helped short term. Still not well · Healthcare visit (other): In officeMedDRA releases: 2024-11 · check-in free text available
-
2021-10-23
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-27
- 2021-10-29
- 2021-10-30
- 2021-11-01
-
2021-11-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-06
- 2021-12-25
- 2022-03-26
-
2022-04-03
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-17
- 2022-04-24
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-07-03
- 2022-10-02
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-25 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-04-03 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): None
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Just sore injection site to shoulder
Release 9 — 6 months, dose 2
Release 9 — day 7, dose 3
Systemic reaction (other): This came 7 days after vaccine. For 4 days I had a very sore arm at site with area hot and swollen. Extreme fatigue for 3-4 days. Headache 2 days after vaccine
Release 10 — day 28, dose 3
Symptoms: My left shoulder has never felt right since second shot. Feels comparable to severe bursitis. Had cortisone injection helped a bit Had mri. Showed inflammation and tendinitis. Injection helped short term. Still not well
Healthcare visit (other): In office
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 | Arthritis | · | · | ✓ |
| SD | Bursitis | ✓ | · | ✓ |
| SD | Magnetic resonance imaging abnormal | · | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release