6JC-16964-41414
2 vaccinations
5 coded responses
9 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 293 / SC
- Registered
- 2021-09-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-10
Registered in v-safe
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2021-09-10
Dose 1 — Pfizer-BioNTech
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2021-09-10
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Its only been about 1 hour since injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-09-11
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2021-09-12
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: GoodFree text: I only can say is my arm is a little sore. But only if I rub or try to lay on it. Nothing to fuss over but just wanted to let you know.MedDRA releases: 2024-11 · check-in free text available
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2021-09-13
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: FairFree text: Hurting in my lower back but dont think it has nothing to do with the shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-14
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2021-09-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Muscle or body achesAdult check-in
- 2021-09-16
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2021-10-13
Dose 2 — Pfizer-BioNTech
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2021-10-17
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal pain — Feeling: PoorFree text: Severe pain in my right shoulder bladeMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — day 14, dose 2MedDRA: Neuralgia, Painful respiration — Feeling: PoorFree text: It hurt so bad to take a deep breath. It started like a pinch nerve at my shoulder blade but now it seem like pleurisy but not been cCoughing or any type of sickness that would make me think I had pleurisy. I think I'm a run by urgent care just to beMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-10 | Pfizer-BioNTech | No |
| 2 | 2021-10-13 | Pfizer-BioNTech | No |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Its only been about 1 hour since injection
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I only can say is my arm is a little sore. But only if I rub or try to lay on it. Nothing to fuss over but just wanted to let you know.
Systemic reaction (other): Hurting in my lower back but dont think it has nothing to do with the shot.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Severe pain in my right shoulder blade
Release 10 — day 14, dose 2
Symptoms: It hurt so bad to take a deep breath. It started like a pinch nerve at my shoulder blade but now it seem like pleurisy but not been cCoughing or any type of sickness that would make me think I had pleurisy. I think I'm a run by urgent care just to be 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 | Neuralgia | · | · | ✓ |
| SD | Painful respiration | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Musculoskeletal pain | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release