2JQ-16033-77287
4 vaccinations
2 coded responses
28 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 452 / OH
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- N/A
Timeline
-
2021-04-07
Dose 1 — Pfizer-BioNTech
-
2021-04-09
Registered in v-safe
- 2021-04-09
- 2021-04-10
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-22
-
2021-04-28
Dose 2 — Pfizer-BioNTech
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-11
-
2021-07-30
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: PoorFree text: Actually since May 1 2021 3 days after 2nd shot i started to have symptons of Bronchitis. I didnt think much of it. But i'm still having symptoms. Treated with antibiotics still no relief. I flareup once a year only in Nov and Dec. Never this early.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-27
-
2022-01-07
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-04-29
-
2022-10-09
Dose 4 — Pfizer-BioNTechCo-administered: Flu:Shingles
- 2022-10-10
-
2022-10-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2022-10-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2022-10-13
Survey response — days 1–6 daily, dose 4MedDRA: Vomiting — Feeling: Fair · Fatigue or tirednessFree text: Actually, after the vaccination on October 9th 2022. Later that evening I did vomit. It came on me so fast I didn't have a warning it was about to happen.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-23
- 2022-10-30
- 2022-11-06
- 2022-11-15
- 2022-11-21
- 2023-01-08
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech | |
| 3 | 2022-01-07 | Pfizer-BioNTech | Flu |
| 4 | 2022-10-09 | Pfizer-BioNTech | Flu:Shingles |
Free text
Release 9 — 3 months, dose 2
Symptoms: Actually since May 1 2021 3 days after 2nd shot i started to have symptons of Bronchitis. I didnt think much of it. But i'm still having symptoms. Treated with antibiotics still no relief. I flareup once a year only in Nov and Dec. Never this early. cut off by CDC
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Actually, after the vaccination on October 9th 2022. Later that evening I did vomit. It came on me so fast I didn't have a warning it was about to happen.
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 | Condition aggravated | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release