YV9-13578-39859
4 vaccinations
3 coded responses
46 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 1 — Pfizer-BioNTech
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
-
2021-05-14
Dose 2 — Pfizer-BioNTech
-
2021-05-14
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: The injection itself (the needle entering the arm) was noticeable (slightly painful), unlike the first shot that was almost unnoticeable and not painful at all The first shot was in the right upper arm. The second shot was in the left upper arm, maybe a little closer to the shoulder joint. Also, the two shots were administered by different people, so their techniques may have been different.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-08-13
- 2021-11-12
-
2022-01-18
Dose 3 — Pfizer-BioNTech
- 2022-01-29
- 2022-02-01
- 2022-02-08
- 2022-02-15
- 2022-02-22
- 2022-03-01
- 2022-04-19
-
2022-07-19
Survey response — 6 months, dose 3MedDRA: Muscle injury, Physiotherapy, Tendon injury — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I injured a muscle or tendon near my left shoulder. My PCP recommended physical therapy, so I am seeing a physical therapist. I do not have reason to suspect that this is related to COVID-19.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-20
- 2022-07-25
-
2022-07-25
Call successfulCompleted over the phone
-
2022-10-12
Dose 4 — Pfizer-BioNTechCo-administered: Flu:Shingles
-
2022-10-12
Survey response — day 0, dose 4MedDRA: Periarthritis — Feeling: Good · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Frozen shoulder started between January and April 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Report sent to call center — day 0, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-13
- 2022-10-13
-
2022-10-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Pfizer-BioNTech | |
| 2 | 2021-05-14 | Pfizer-BioNTech | |
| 3 | 2022-01-18 | Pfizer-BioNTech | No |
| 4 | 2022-10-12 | Pfizer-BioNTech | Flu:Shingles |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-19 | Successful 2022-07-25 |
Completed over the phone |
| 2022-10-12 | Successful 2022-10-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): The injection itself (the needle entering the arm) was noticeable (slightly painful), unlike the first shot that was almost unnoticeable and not painful at all The first shot was in the right upper arm. The second shot was in the left upper arm, maybe a little closer to the shoulder joint. Also, the two shots were administered by different people, so their techniques may have been different.
Release 12 — 6 months, dose 3
Symptoms: I injured a muscle or tendon near my left shoulder. My PCP recommended physical therapy, so I am seeing a physical therapist. I do not have reason to suspect that this is related to COVID-19.
Release 12 — day 0, dose 4
Systemic reaction (other): Frozen shoulder started between January and April 2022
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 | Muscle injury | · | · | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Tendon injury | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Periarthritis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release