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Z3B-84176-48097

2 vaccinations 6 coded responses 7 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
922 / CA
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-10
    Registered in v-safe
  3. 2021-02-10
    Survey response — day 7, dose 1
    MedDRA: Arthralgia — Feeling: Good · Site: Pain
    Free text: Sore shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-15
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Wrong technique in product usage process — Feeling: Fair
    Free text: Sore shoulder started 9 days after the vaccine like maybe nerve damage from the way the guy injected me. He didnt know where to put the needle and put it up on my shoulder area and off to the side. He did not inject my muscle like he was supposed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-22
    Dose 2 — Pfizer-BioNTech
  6. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site haemorrhage — Feeling: Good · Site: Pain
    Free text: There was blood on the bandaid and at the injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site haemorrhage — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Blood at injection site and on bandaid.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Dark blood on the bandaid.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-01
    Survey response — day 7, dose 2
    MedDRA: Injection site haemorrhage — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Bleeding at injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Pfizer-BioNTech
22021-02-22Pfizer-BioNTech

Free text

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Sore shoulder

Release 4 — day 14, dose 1

2021-02-15

Symptoms: Sore shoulder started 9 days after the vaccine like maybe nerve damage from the way the guy injected me. He didnt know where to put the needle and put it up on my shoulder area and off to the side. He did not inject my muscle like he was supposed

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): There was blood on the bandaid and at the injection site.

2021-02-25

Systemic reaction (other): Blood at injection site and on bandaid.

2021-02-27

Systemic reaction (other): Dark blood on the bandaid.

Release 4 — day 7, dose 2

2021-03-01

Systemic reaction (other): Bleeding at injection site.

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
SDArthralgia ✓ ✓ ✓
SDWrong technique in product usage process ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROInjection site haemorrhage ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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