4U8-11556-03400
5 vaccinations
4 coded responses
68 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 912 / CA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Registered in v-safe
-
2021-01-24
Dose 1 — Pfizer-BioNTech
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-07
-
2021-02-14
Dose 2 — Pfizer-BioNTech
- 2021-02-14
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-05-16
- 2021-08-15
-
2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-09-29
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Product administered at inappropriate site — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Vaccine administered too high on arm; about one inch below shoulder bone rather than lower down in deltoid muscle. Im experiencing mild shoulder pain.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Bursa injury, Product administered at inappropriate site, Vaccination site pain, Vaccination site swelling — Feeling: Good · Site: Pain, SwellingFree text: Shot was administered to high in bursa area rather than deltoid. Shoulder pain is subsiding. Vaccine site still somewhat swollen and sore.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Neck pain, Wrong technique in product usage process — Feeling: Good · Site: Pain, SwellingFree text: Sore neck and shoulder from vaccination administered too high on arm.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Survey response — day 7, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Injection site still sore after one week. Shot administered high on arm.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-10
- 2021-12-29
- 2022-04-01
-
2022-04-22
Dose 4 — Pfizer-BioNTech
- 2022-04-22
- 2022-04-23
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-10-04
Dose 5 — Pfizer-BioNTech
- 2022-10-04
-
2022-10-05
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Pfizer-BioNTech | |
| 2 | 2021-02-14 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-22 | Pfizer-BioNTech | No |
| 5 | 2022-10-04 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Vaccine administered too high on arm; about one inch below shoulder bone rather than lower down in deltoid muscle. Im experiencing mild shoulder pain.
Systemic reaction (other): Shot was administered to high in bursa area rather than deltoid. Shoulder pain is subsiding. Vaccine site still somewhat swollen and sore.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore neck and shoulder from vaccination administered too high on arm.
Release 10 — day 7, dose 3
Systemic reaction (other): Injection site still sore after one week. Shot administered high on arm.
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 |
|---|---|---|---|---|
| SRO | Arthralgia | · | · | ✓ |
| SRO | Bursa injury | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Product administered at inappropriate site | · | · | ✓ |
| SRO | Vaccination site pain | · | · | ✓ |
| SRO | Vaccination site swelling | · | · | ✓ |
| SRO | Wrong technique in product usage process | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release