KJW-27605-04625
2 vaccinations
2 coded responses
19 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 923 / CA
- Registered
- 2021-11-07
- Relationship
- Child or adolescent in my care
- Guardian
- AH5-18597-52098
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-03
Dose 1 — Pfizer-BioNTech
-
2021-11-07
Registered in v-safe
-
2021-11-07
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-09
- 2021-11-10
- 2021-11-17
- 2021-11-24
-
2021-11-29
Dose 2 — Pfizer-BioNTech
-
2021-11-30
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Arthralgia, Muscle spasms, Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Ipsilateral neck/shoulder pain, muscle spasmMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Improving ipsilateral neck/shoulder painMedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-02-28
- 2022-05-30
- 2022-11-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-03 | Pfizer-BioNTech | No |
| 2 | 2021-11-29 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Ipsilateral neck/shoulder pain, muscle spasm
Systemic reaction (other): Improving ipsilateral neck/shoulder pain
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 |
|---|---|---|---|---|
| SRO | Arthralgia | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release