Z4D-16231-56569
1 vaccination
3 coded responses
4 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 601 / IL
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Registered in v-safe
-
2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Immediate post-injection reaction, Joint swelling, Pain, Rash — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteFree text: I got a rash on my neck 45 mins after the shot. Yesterday I was in alot of pain, today I felt better and rash looks better but started noticing slight pain in my upper back shoulder and realized it's very swollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Joint swelling, Pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: I have swelling on my upper right back shoulder the is the size of a lemon. Im aching in that area and feeling uncomfortable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Survey response — day 14, dose 1MedDRA: Mass — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I developed a large lump on my upper right back shoulder. It the size of a fist and is causing pain in my shoulder and arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-21
-
2022-04-04
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-20 | Successful 2022-04-04 |
Completed over the phone |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I got a rash on my neck 45 mins after the shot. Yesterday I was in alot of pain, today I felt better and rash looks better but started noticing slight pain in my upper back shoulder and realized it's very swollen.
Systemic reaction (other): I have swelling on my upper right back shoulder the is the size of a lemon. Im aching in that area and feeling uncomfortable.
Release 7 — day 14, dose 1
Symptoms: I developed a large lump on my upper right back shoulder. It the size of a fist and is causing pain in my shoulder and arm.
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 | Mass | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release