ZR9-18651-63226

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 190 / PA
Registered: 2021-03-15

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-13
Dose 1 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: moving my arm is very painful in the shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Shoulder injury related to vaccine administration — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: SIRVA: Shoulder Shoulder injury related to vaccine administration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site joint pain, Self-medication — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: shoulder where the shot was given still hurts, taken ibuprophene, applyin ice and doing gentle movements

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: swollen lymph node under the left armpit same side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: swollen armpits and collar bones lymphs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: swollen lymphs under armpit and collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: swollen lymphs in armit y collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: swollen lymphs in collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: swollen lymphs in collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-03-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Pfizer-BioNTech
2	2021-04-03	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-16	Unsuccessful
2021-03-17	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): moving my arm is very painful in the shoulder

2021-03-16

Systemic reaction (other): SIRVA: Shoulder Shoulder injury related to vaccine administration

2021-03-17

Systemic reaction (other): shoulder where the shot was given still hurts, taken ibuprophene, applyin ice and doing gentle movements

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): swollen lymph node under the left armpit same side of injection

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): swollen armpits and collar bones lymphs

2021-04-07

Systemic reaction (other): swollen lymphs under armpit and collar bone

2021-04-08

Systemic reaction (other): swollen lymphs in armit y collar bone

2021-04-09

Systemic reaction (other): swollen lymphs in collar bone

Release 7 — day 7, dose 2

2021-04-10

Systemic reaction (other): swollen lymphs in collar bone

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
SRO	Injection site joint pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Shoulder injury related to vaccine administration	✓	✓	✓

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