2J9-26113-80862
5 vaccinations
3 coded responses
66 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Pfizer-BioNTech
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Self-medication — Feeling: Good · Site: PainFree text: Last night the local pain in my arm was keeping me awake so I took 1 advil. Today the pain is mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Muscle tightness, Myalgia — Feeling: Good · Muscle or body achesFree text: The past 2 days the muscles in my shoulder got very tight and painful. I am not sure if it is from the COVID-19 shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-30
-
2021-04-06
Dose 2 — Pfizer-BioNTech
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
- 2021-10-05
-
2021-10-07
Dose 3 — Pfizer-BioNTech
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-13
- 2021-10-14
- 2021-10-21
-
2021-10-28
Survey response — day 21, dose 3MedDRA: Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: A swelling in a gland on my neck just below the jawline. The Dr gave me antibiotics and my dentist ruled out an infection coming from my teeth. If it doesn't improve with the antibiotics he wants me to see an ear/nose/throat specialist. · Healthcare visit (other): Also my dentistMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-29
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-04
- 2021-11-11
- 2021-11-19
- 2022-01-06
- 2022-04-07
-
2022-05-24
Dose 4 — Moderna
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-22
- 2022-06-28
- 2022-07-05
- 2022-08-23
-
2022-10-13
Dose 5 — Pfizer-BioNTech
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2023-01-12
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech | |
| 3 | 2021-10-07 | Pfizer-BioNTech | No |
| 4 | 2022-05-24 | Moderna | No |
| 5 | 2022-10-13 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Last night the local pain in my arm was keeping me awake so I took 1 advil. Today the pain is mild.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): The past 2 days the muscles in my shoulder got very tight and painful. I am not sure if it is from the COVID-19 shot
Release 10 — day 21, dose 3
Symptoms: A swelling in a gland on my neck just below the jawline. The Dr gave me antibiotics and my dentist ruled out an infection coming from my teeth. If it doesn't improve with the antibiotics he wants me to see an ear/nose/throat specialist.
Healthcare visit (other): Also my dentist
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 | Lymphadenopathy | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release