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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

  1. 2021-09-10
    Registered in v-safe
  2. 2021-09-10
    Dose 1 — Pfizer-BioNTech
  3. 2021-09-10
    Survey response — day 0, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Its only been about 1 hour since injection
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-09-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-09-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tenderness — Feeling: Good
    Free 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
  6. 2021-09-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair
    Free 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
  7. 2021-09-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-09-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Headache, Muscle or body aches
    Adult check-in
  9. 2021-09-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-10-13
    Dose 2 — Pfizer-BioNTech
  11. 2021-10-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Musculoskeletal pain — Feeling: Poor
    Free text: Severe pain in my right shoulder blade
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-10-28
    Survey response — day 14, dose 2
    MedDRA: Neuralgia, Painful respiration — Feeling: Poor
    Free 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 be
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-09-10Pfizer-BioNTech No
22021-10-13Pfizer-BioNTech No

Free text

Release 9 — day 0, dose 1

2021-09-10

Systemic reaction (other): Its only been about 1 hour since injection

Release 9 — days 1–6 daily, dose 1

2021-09-12

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.

2021-09-13

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

2021-10-17

Systemic reaction (other): Severe pain in my right shoulder blade

Release 10 — day 14, dose 2

2021-10-28

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

FieldPreferred term2021-092023-042024-11
SDNeuralgia · · ✓
SDPainful respiration · · ✓
SROBack pain · · ✓
SROMusculoskeletal pain · · ✓
SROTenderness · · ✓
SROUnevaluable event · · ✓

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