2WB-10466-18716
3 vaccinations
7 coded responses
36 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 319 / GA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-26
Survey response — day 7, dose 1MedDRA: Dyspepsia, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My stomach is sour from vomiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
-
2021-04-16
Survey response — day 28, single doseMedDRA: Headache, Nausea — Feeling: GoodFree text: When i drink wine, I am feeling quesy and have a headache. This is new since the vaccine and has happened every time I have had wineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-06-19
- 2021-09-17
-
2021-10-22
Dose 2 — Pfizer-BioNTech
- 2021-11-01
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
- 2022-04-22
-
2022-10-18
Dose 3 — Moderna
- 2022-10-19
- 2022-10-20
- 2022-10-22
-
2022-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Alcohol intolerance — Feeling: Good · NauseaFree text: In my previous vaccination and booster I got sick when I drank wine. This lasted for as much as 8 weeks. I have not drank this week. When i drink wine again it may make me sickMedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-25
-
2022-11-01
Survey response — day 14, dose 3MedDRA: Nausea — Feeling: GoodFree text: Naseau after drinking wineMedDRA releases: 2024-11 · check-in free text available
-
2022-11-08
Survey response — day 21, dose 3MedDRA: Headache — Feeling: GoodFree text: Headache after drinking wineMedDRA releases: 2024-11 · check-in free text available
-
2022-11-15
Survey response — day 28, dose 3MedDRA: Abdominal pain upper, Headache, Nasopharyngitis — Feeling: PoorFree text: Headache cold atomach acheMedDRA releases: 2024-11 · check-in free text available
- 2022-11-22
- 2022-11-29
-
2023-01-17
Survey response — 3 months, dose 3MedDRA: Nasal congestion — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-22 | Pfizer-BioNTech | No |
| 3 | 2022-10-18 | Moderna | No |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): My stomach is sour from vomi
Release 7 — day 28, single dose
Symptoms: When i drink wine, I am feeling quesy and have a headache. This is new since the vaccine and has happened every time I have had wine
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): In my previous vaccination and booster I got sick when I drank wine. This lasted for as much as 8 weeks. I have not drank this week. When i drink wine again it may make me sick
Release 12 — day 14, dose 3
Symptoms: Naseau after drinking wine
Release 12 — day 21, dose 3
Symptoms: Headache after drinking wine
Release 12 — day 28, dose 3
Symptoms: Headache cold atomach ache
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 | Abdominal pain upper | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Alcohol intolerance | · | · | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release