4EJ-24889-74390
3 vaccinations
3 coded responses
31 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 128 / NY
- Registered
- 2021-08-13
- Relationship
- Child or adolescent in my care
- Guardian
- ZZE-56863-13534
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-08-13
Registered in v-safe
-
2021-08-13
Dose 1 — Pfizer-BioNTech
- 2021-08-13
-
2021-08-14
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-08-15
- 2021-08-16
- 2021-08-18
- 2021-08-19
- 2021-08-22
- 2021-08-27
-
2021-09-03
Dose 2 — Pfizer-BioNTech
- 2021-09-03
-
2021-09-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-09-05
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Axillary pain, Tenderness — Feeling: Good · Site: PainFree text: Left axillary pain/ tenderness (same side as injection)MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-06
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Axillary pain, Tenderness — Feeling: GoodFree text: Left axillary pain/ tendernessMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-07
- 2021-09-08
- 2021-09-09
- 2021-09-12
- 2021-09-17
- 2021-09-26
- 2021-10-01
- 2021-10-08
- 2021-10-15
-
2021-12-03
Survey response — 3 months, dose 2, dependentMedDRA: Arthralgia — Feeling: Good · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ankle pain without known injuryMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Report sent to call center — 3 months, dose 2, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-06
-
2022-05-14
Dose 3 — Pfizer-BioNTech
- 2022-05-24
- 2022-05-30
- 2022-06-04
- 2022-06-11
- 2022-06-18
- 2022-06-27
- 2022-08-14
- 2022-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-13 | Pfizer-BioNTech | No |
| 2 | 2021-09-03 | Pfizer-BioNTech | No |
| 3 | 2022-05-14 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Left axillary pain/ tenderness (same side as injection)
Systemic reaction (other): Left axillary pain/ tenderness
Release 10 — 3 months, dose 2, dependent
Symptoms: Ankle pain without known injury
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 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SRO | Axillary pain | ✓ | · | ✓ |
| SRO | Tenderness | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release