5JN-17339-13843

2 vaccinations 6 coded responses 10 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 086 / NJ
Registered: 2021-04-30

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-22
Dose 1 — Pfizer-BioNTech
2021-04-30
Registered in v-safe
2021-04-30
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-05-06
Survey response — day 14, dose 1
MedDRA: Mobility decreased, Musculoskeletal stiffness, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arm pain & stiffness in arm that got the shot in. Muscle stiff & sore and difficulty to move it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 21, dose 1
MedDRA: Injected limb mobility decreased, Musculoskeletal stiffness, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: The arm I got my shot in is all puffy, stiff, & painful. I'm having problems moving it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Dose 2 — Pfizer-BioNTech
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-06
Survey response — day 21, dose 2
MedDRA: Arthralgia, Nodule, Pruritus, Rash erythematous, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have pain in my joints, red spots and lumps have broken out. A few lumps are fluid filled and painful. Some are itchy. · Healthcare visit (other): Requested visit and was turned down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Survey response — day 28, dose 2
MedDRA: Arthralgia, Headache, Peripheral swelling, Rash, Rash pustular, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I have pus & fluid filled bumps in my left armpit. My left upper arm is swollen & won't reduce. Joints hurt & have headaches on & off. · Healthcare visit (other): Told it was side effects & nothing can be done.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Survey response — day 35, dose 2
MedDRA: Peripheral swelling, Pustule, Rash, Rash erythematous — Feeling: Poor · Be unable to do your normal daily activities

Free text: Upper left arm swollen. Fluid & pus filled bumps in left underarm. Light red rash on both lower arms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Call 1 — Left Voicemail
2021-06-22
Call 1 — Left Voicemail
2021-11-15
Survey response — 6 months, dose 2
MedDRA: Gait disturbance, Myalgia, Pustule, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Difficulty walking due to muscle soreness. Puss filled bumps on under arm on shot arm. · Healthcare visit (other): Awaiting appointment. Will be seen in three days.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Pfizer-BioNTech
2	2021-05-14	Pfizer-BioNTech

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-06

Symptoms: Arm pain & stiffness in arm that got the shot in. Muscle stiff & sore and difficulty to move it.

Release 8 — day 21, dose 1

2021-05-13

Symptoms: The arm I got my shot in is all puffy, stiff, & painful. I'm having problems moving it.

Release 8 — day 21, dose 2

2021-06-06

Symptoms: I have pain in my joints, red spots and lumps have broken out. A few lumps are fluid filled and painful. Some are itchy.

Healthcare visit (other): Requested visit and was turned down.

Release 9 — day 28, dose 2

2021-06-17

Symptoms: I have pus & fluid filled bumps in my left armpit. My left upper arm is swollen & won't reduce. Joints hurt & have headaches on & off.

Healthcare visit (other): Told it was side effects & nothing can be done.

Release 9 — day 35, dose 2

2021-06-18

Symptoms: Upper left arm swollen. Fluid & pus filled bumps in left underarm. Light red rash on both lower arms.

Release 10 — 6 months, dose 2

2021-11-15

Symptoms: Difficulty walking due to muscle soreness. Puss filled bumps on under arm on shot arm.

Healthcare visit (other): Awaiting appointment. Will be seen in three days.

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Headache	✓	✓	✓
SD	Injected limb mobility decreased	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pustule	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pustular	✓	✓	✓

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