2JM-17831-73726
2 vaccinations
8 coded responses
22 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 372 / TN
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Pfizer-BioNTech
-
2020-12-29
Registered in v-safe
- 2020-12-29
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache — Feeling: GoodFree text: Mild headache and fatigue last night after my check-in. None todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-18
Dose 2 — Pfizer-BioNTech
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pyrexia, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe chills overnight with fever.temp of 101.4 on ibuprofenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-20
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymph node pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesFree text: Pain in axillary nodes on side I received the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Axillary pain in the side of the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Eye irritation, Vaccine positive rechallenge — Feeling: Good · HeadacheFree text: My eyes have been very irritated since I received the shot and were with the first shot as well for about a weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
-
2021-02-01
Survey response — day 14, dose 2MedDRA: Eye irritation, Respiratory tract congestion — Feeling: GoodFree text: Congestion and eye irritation. Unlikely to be related to covid vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-15
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2021-02-22
Survey response — day 35, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Congestion and coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-04-19
- 2021-07-19
-
2022-01-20
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Residual cough and congestion s/p covid infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-20
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mild headache and fatigue last night after my check-in. None today
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Severe chills overnight with fever.temp of 101.4 on ibuprofen
Systemic reaction (other): Pain in axillary nodes on side I received the injection
Systemic reaction (other): Axillary pain in the side of the injection
Systemic reaction (other): My eyes have been very irritated since I received the shot and were with the first shot as well for about a week
Release 3 — day 14, dose 2
Symptoms: Congestion and eye irritation. Unlikely to be related to covid vaccine
Release 4 — day 35, dose 2
Symptoms: Congestion and cough
Release 10 — 12 months, dose 2
Symptoms: Residual cough and congestion s/p covid infection
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 | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Eye irritation | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release