35H-52985-52419
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 926 / CA
- Registered
- 2021-06-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-03
Registered in v-safe
-
2021-06-03
Dose 1 — Janssen/Johnson & Johnson
- 2021-06-03
- 2021-06-04
- 2021-06-05
- 2021-06-06
- 2021-06-08
- 2021-06-09
- 2021-06-10
- 2021-06-18
- 2021-06-24
- 2021-07-01
- 2021-07-08
- 2021-07-15
- 2021-09-02
- 2021-12-02
-
2021-12-17
Dose 2 — Pfizer-BioNTech
-
2021-12-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-12-21
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: GoodFree text: Muscle pain that I believe is Not related to injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Myalgia — Feeling: Fair · Muscle or body achesFree text: Muscle Joint pain may not be related to injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Survey response — day 7, dose 2MedDRA: Arthralgia, Mobility decreased, Office visit, Self-medication, Shoulder injury related to vaccine administration — Feeling: Fair · Muscle or body achesFree text: In the past week, I've had severe loss of mobility on the left arm/injection side and moderate unilateral left shoulder pain that did not resolve with OTCs. After reading more, I realize that I am suffering with SIRVA. I reported today to pharmacy.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
- 2022-01-07
-
2022-01-18
Survey response — day 28, dose 2MedDRA: Dehydration, Diarrhoea, Fatigue, Influenza like illness, Medical counselling, Pyrexia, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: 1/9, experienced flu like symptoms, (runs/watery diarrhea & vomiting for hours & mild fever) which continued through 1/10. Following that, I was very fatigued, due to dehydration. A nurse friend gave me at home Covid test -showed negative results. · Healthcare visit (other): Messaged Nurse FriendMedDRA releases: 2024-11 · check-in free text available
-
2022-01-18
Report sent to call center — day 28, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-01-19
- 2022-01-21
- 2022-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-03 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-17 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle pain that I believe is Not related to injection
Systemic reaction (other): Muscle Joint pain may not be related to injection
Release 10 — day 7, dose 2
Systemic reaction (other): In the past week, I've had severe loss of mobility on the left arm/injection side and moderate unilateral left shoulder pain that did not resolve with OTCs. After reading more, I realize that I am suffering with SIRVA. I reported today to pharmacy. cut off by CDC
Release 10 — day 28, dose 2
Symptoms: 1/9, experienced flu like symptoms, (runs/watery diarrhea & vomiting for hours & mild fever) which continued through 1/10. Following that, I was very fatigued, due to dehydration. A nurse friend gave me at home Covid test -showed negative results.
Healthcare visit (other): Messaged Nurse Friend
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| SD | Dehydration | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Shoulder injury related to vaccine administration | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release