6YV-21339-80548
3 vaccinations
10 coded responses
35 check-ins
10 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 030 / NH
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-09
Dose 1 — Pfizer-BioNTech
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2021-04-10
Registered in v-safe
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Mobility decreased — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Shoulder very sore to point of not being able to use in arm of injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Shoulder pain on same arm of injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Still pain in shoulder above injection site, not continuous but when I stretch arm, e.g. putting on sweater, it aches for good ten minutes until it subsides.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Joint range of motion decreased, Pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Shoulder pain, limited movement before pain begins and subsides in 5-10 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Shoulder above injection site painful when moved, subsides after a good 5-10 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Shoulder, above injection site, gets very sore very quickly if moderate movement. Pain goes down in approximately five minutes using relaxation techniques and restricting movement. Taking over the counter pain reliever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 7, dose 1MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Pain in the shoulder of the injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
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2021-05-01
Dose 2 — Pfizer-BioNTech
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-07-31
- 2021-10-30
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2021-11-02
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-12-01
- 2021-12-07
- 2021-12-14
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2022-02-01
Survey response — 3 months, dose 3MedDRA: Periarthritis — Feeling: GoodFree text: Frozen shoulder, right armMedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Survey response — 6 months, dose 3MedDRA: Impaired work ability, Tooth extraction — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tooth removal. Required day off work.MedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-02
Survey response — 12 months, dose 3MedDRA: Muscle strain — Feeling: Fair · Be unable to work or attend schoolFree text: Pulled lower back muscleMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-05-01 | Pfizer-BioNTech | |
| 3 | 2021-11-02 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Shoulder very sore to point of not being able to use in arm of injection site
Systemic reaction (other): Shoulder pain on same arm of injection site
Systemic reaction (other): Still pain in shoulder above injection site, not continuous but when I stretch arm, e.g. putting on sweater, it aches for good ten minutes until it subsides.
Systemic reaction (other): Shoulder pain, limited movement before pain begins and subsides in 5-10 minutes
Systemic reaction (other): Shoulder above injection site painful when moved, subsides after a good 5-10 minutes.
Systemic reaction (other): Shoulder, above injection site, gets very sore very quickly if moderate movement. Pain goes down in approximately five minutes using relaxation techniques and restricting movement. Taking over the counter pain reliever.
Release 7 — day 7, dose 1
Systemic reaction (other): Pain in the shoulder of the injection arm
Release 11 — 3 months, dose 3
Symptoms: Frozen shoulder, right arm
Release 11 — 6 months, dose 3
Symptoms: Tooth removal. Required day off work.
Release 12 — 12 months, dose 3
Symptoms: Pulled lower back muscle
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 | Impaired work ability | · | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Periarthritis | · | · | ✓ |
| SD | Tooth extraction | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release