6P9-31173-13304
4 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 953 / CA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Pfizer-BioNTech
-
2021-03-14
Registered in v-safe
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-03
Dose 2 — Pfizer-BioNTech
- 2021-04-03
- 2021-04-04
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Neck mass, Nodule, Swelling, Tenderness — Feeling: GoodFree text: Since the shot on Saturday, the next day I noticed a floating lump above my left collar the size of peanut, today it has swollen a bit like there is air around it. Little tender but not much.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: I still have a swollen lymph node on my left shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Joint swelling — Feeling: GoodFree text: Swelling has gone down on my left shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-19
- 2021-04-25
- 2021-05-01
- 2021-05-08
- 2021-05-16
- 2021-07-03
- 2021-10-02
-
2021-12-26
Dose 3 — Moderna
-
2022-04-03
Survey response — 12 months, dose 2MedDRA: Arthralgia, Pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: My left shoulder started to hurt with sharp pains when I left my arm higher than my shoulder. All started a week after my booster shot in my left arm. Which was a week after I had my Shingles shot, also in my left arm. · Healthcare visit (other): I was given a Corazon shot but that did not help. So I am seeing an orthopedic to look at it next week.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-03
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-06
Call successfulParticipant prefers to complete VAERS report online
-
2022-11-07
Dose 4 — Moderna
- 2022-12-12
- 2022-12-19
- 2023-02-06
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-03 | Pfizer-BioNTech | |
| 3 | 2021-12-26 | Moderna | No |
| 4 | 2022-11-07 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Since the shot on Saturday, the next day I noticed a floating lump above my left collar the size of peanut, today it has swollen a bit like there is air around it. Little tender but not much.
Systemic reaction (other): I still have a swollen lymph node on my left shoulder
Systemic reaction (other): Swelling has gone down on my left shoulder
Release 11 — 12 months, dose 2
Symptoms: My left shoulder started to hurt with sharp pains when I left my arm higher than my shoulder. All started a week after my booster shot in my left arm. Which was a week after I had my Shingles shot, also in my left arm.
Healthcare visit (other): I was given a Corazon shot but that did not help. So I am seeing an orthopedic to look at it next week.
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 | Pain | · | · | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck mass | ✓ | · | ✓ |
| SRO | Nodule | ○ | ✓ | ○ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release