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
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2021-02-01
Dose 1 — Pfizer-BioNTech
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2021-02-10
Registered in v-safe
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2021-02-10
Survey response — day 7, dose 1MedDRA: Arthralgia — Feeling: Good · Site: PainFree text: Sore shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — day 14, dose 1MedDRA: Arthralgia, Wrong technique in product usage process — Feeling: FairFree 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 supposedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Dose 2 — Pfizer-BioNTech
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Injection site haemorrhage — Feeling: Good · Site: PainFree 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
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site haemorrhage — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Blood at injection site and on bandaid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Dark blood on the bandaid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — day 7, dose 2MedDRA: Injection site haemorrhage — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Bleeding at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | |
| 2 | 2021-02-22 | Pfizer-BioNTech |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Sore shoulder
Release 4 — day 14, dose 1
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
Systemic reaction (other): There was blood on the bandaid and at the injection site.
Systemic reaction (other): Blood at injection site and on bandaid.
Systemic reaction (other): Dark blood on the bandaid.
Release 4 — day 7, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Wrong technique in product usage process | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injection site haemorrhage | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release