ZY5-21097-77932
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 454 / OH
- Registered
- 2021-10-02
- Relationship
- Child or adolescent in my care
- Guardian
- YMJ-38306-02608
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-01
Dose 1 — Pfizer-BioNTech
-
2021-10-02
Registered in v-safe
-
2021-10-02
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-10-03
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-10-04
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
-
2021-10-15
Survey response — day 14, dose 1, dependentMedDRA: Arthralgia, Injected limb mobility decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe Left shoulder joint pain with difficulty raising her Left Arm for 2 days straight. The vaccine was injected in her Left upper arm.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-22
- 2021-10-29
- 2021-11-05
-
2021-11-12
Dose 2 — Pfizer-BioNTech
-
2021-11-13
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-14
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Study nose & slight runny noseMedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 21, dose 2, dependentMedDRA: Arthralgia, Mobility decreased — Feeling: FairFree text: Left shoulder joint pain & difficulty raising her Left arm for several daysthis is the affected arm where vaccine was givenMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
- 2022-05-13
- 2022-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-01 | Pfizer-BioNTech | No |
| 2 | 2021-11-12 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Severe Left shoulder joint pain with difficulty raising her Left Arm for 2 days straight. The vaccine was injected in her Left upper arm.
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Study nose & slight runny nose
Release 10 — day 21, dose 2, dependent
Symptoms: Left shoulder joint pain & difficulty raising her Left arm for several daysthis is the affected arm where vaccine was given
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 | Injected limb mobility decreased | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release