5Q9-54824-52138

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 381 / TN
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Swelling — Feeling: Fair

Free text: Swelling and pain in collar bone area. Where my bra strap crosses my shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Injection site swelling, Lymphadenopathy, Nodule — Feeling: Fair · Site: Pain, Swelling

Free text: Soreness and swelling in left arm at injection and collar bone by bra strap has knot swollen and sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Injection site pain, Injection site swelling — Feeling: Fair · Site: Pain, Swelling

Free text: Still sore and swollen from bra strap area to injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nodule — Feeling: Fair

Free text: Still sore with knot in bra strap area but injection site no pain or swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Nodule, Pain, Swelling, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Swelling

Free text: Knot on my left collar bone like before. Pain swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Nodule, Pain, Swelling — Feeling: Fair · Site: Pain, Swelling

Free text: Pain swelling left collar bone has knot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Nodule, Pain, Swelling — Feeling: Fair · Site: Pain, Swelling

Free text: Pain and swelling knot on left collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Nodule, Swelling — Feeling: Fair · Site: Pain, Swelling

Free text: Knot on left collar bone pain swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Nodule, Pain, Swelling — Feeling: Good · Site: Swelling

Free text: Knot on left collar bone still a little swollen but pain is gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Neck mass, Swelling — Feeling: Good

Free text: Knot on left collar bone still a little sore and a little swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Arthritis, Mobility decreased, Muscular weakness, Office visit, Pain, Physiotherapy, X-ray limb abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Weakness in my left arm where i got both 1st and 2nd shots. I went to doctor they did xray and said i have atthritis in my shoulder which started hurting me and was hard to lift alway up after 2nd shot. I am now taking pednisone and physical therapy

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call 1 — Requested Callback
2021-10-07
Call 2 — Left Voicemail
2021-10-07
Callback requested for
01:30PM ET
2021-10-13
Call 3 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Swelling and pain in collar bone area. Where my bra strap crosses my shoulder

2021-03-13

Systemic reaction (other): Soreness and swelling in left arm at injection and collar bone by bra strap has knot swollen and sore.

2021-03-14

Systemic reaction (other): Still sore and swollen from bra strap area to injection site

2021-03-15

Systemic reaction (other): Still sore with knot in bra strap area but injection site no pain or swelling

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Knot on my left collar bone like before. Pain swelling

2021-04-03

Systemic reaction (other): Pain swelling left collar bone has knot

2021-04-04

Systemic reaction (other): Pain and swelling knot on left collar bone

2021-04-05

Systemic reaction (other): Knot on left collar bone pain swelling

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Knot on left collar bone still a little swollen but pain is gone

2021-04-07

Systemic reaction (other): Knot on left collar bone still a little sore and a little swollen

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Weakness in my left arm where i got both 1st and 2nd shots. I went to doctor they did xray and said i have atthritis in my shoulder which started hurting me and was hard to lift alway up after 2nd shot. I am now taking pednisone and physical therapy cut off by CDC

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	Arthritis	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Physiotherapy	·	·	✓
SD	X-ray limb abnormal	·	·	✓
SRO	Bone pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck mass	·	·	✓
SRO	Nodule	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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