ZQJ-16307-90361
2 vaccinations
7 coded responses
14 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 490 / MI
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-17
Dose 1 — Pfizer-BioNTech
-
2021-04-18
Registered in v-safe
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2021-04-18
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain, Oedema peripheral, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body achesFree text: Swelling under arm, and chest with pain in neck all on the same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Lymph node enlarged under arm, chest, and new develop on my shoulder near neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Feeling hot, Neck pain, Skin warm, Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Abdominal pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Pain in neck and back same side I got shot on.my neck is hot · Healthcare visit (other): Appt was made with PCP have not seen Doctor yetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Joint painsAdult check-in
- 2021-04-23
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2021-04-24
Survey response — day 7, dose 1MedDRA: Back pain, Inflammation — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: Back pain Back still inflamedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
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2021-05-13
Dose 2 — Pfizer-BioNTech
- 2021-05-13
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2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
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2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: Swollen lymph nodes under arm and breastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
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2021-05-30
Survey response — day 14, dose 2MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: GoodFree text: Sharp pains and stiffness when I lift my arm from first vaccine shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-02-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Pfizer-BioNTech | |
| 2 | 2021-05-13 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-21 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Tired
Systemic reaction (other): Swelling under arm, and chest with pain in neck all on the same side as injection
Systemic reaction (other): Lymph node enlarged under arm, chest, and new develop on my shoulder near neck
Systemic reaction (other): Pain in neck and back same side I got shot on.my neck is hot
Healthcare visit (other): Appt was made with PCP have not seen Doctor yet
Release 7 — day 7, dose 1
Systemic reaction (other): Back pain Back still inflamed
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes under arm and breast
Release 8 — day 14, dose 2
Symptoms: Sharp pains and stiffness when I lift my arm from first vaccine shot
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ○ | ✓ | ○ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | · | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release