399-46551-63492
3 vaccinations
5 coded responses
39 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 917 / CA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-10
Registered in v-safe
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2021-04-10
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-10
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
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2021-05-22
Survey response — day 42, single doseMedDRA: Arthralgia, Inflammation, Thrombophlebitis, Thrombosis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed on 5/20 with Thrombophlebitis. Blood clot causing inflammation and pain in a vein in my wrist. Per doctor, it was caused by vein being injured by an IV in my hand about 2 weeks earlier (when I got a biopsy). Unrelated to Covid vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Report sent to call center — day 42, single doseBe unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-10
- 2021-10-09
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2021-10-25
Dose 2 — Pfizer-BioNTech
- 2021-10-25
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2021-10-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
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2021-11-10
Survey response — day 14, dose 2MedDRA: Hospitalisation, Hysterectomy — 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 · HospitalizationFree text: Unrelated to booster shot: Had hysterectomy with parasitic fibroid removal on 11-8. Still in hospital. Have had low blood pressure, low hemoglobin level, fever. Short-term dizziness & vomiting. Pain.MedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Report sent to call center — day 14, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · no matching call case
-
2021-11-15
Survey response — day 21, dose 2MedDRA: Erythema, Hospitalisation, Hysterectomy, Pruritus, Urticaria, Uterine leiomyoma, Uterine operation — 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: Unrelated to vaccine: After 3-nite hospital stay after 11/8 hysterectomy & parasitic uterine fibroid removal, I found red, itchy welts where all incision bandaids were. Today, got prescribed a topical corticosteroid. Still recovering from surgery.MedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Report sent to call center — day 21, 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)
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2021-11-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-22
- 2021-11-29
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2021-12-06
Survey response — day 42, dose 2MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-01-24
- 2022-04-25
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2022-09-23
Dose 3 — Pfizer-BioNTech
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2022-09-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
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2022-09-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2022-09-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2022-09-28
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-09-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · ChillsAdult check-in
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
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2022-10-21
Survey response — day 28, dose 3MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bad headaches on two different days. Probably unrelated to vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Pfizer-BioNTech | No |
| 3 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
1 check-in flagged for a call with no call center case on record
Free text
Release 8 — day 42, single dose
Symptoms: Diagnosed on 5/20 with Thrombophlebitis. Blood clot causing inflammation and pain in a vein in my wrist. Per doctor, it was caused by vein being injured by an IV in my hand about 2 weeks earlier (when I got a biopsy). Unrelated to Covid vaccine.
Release 10 — day 14, dose 2
Symptoms: Unrelated to booster shot: Had hysterectomy with parasitic fibroid removal on 11-8. Still in hospital. Have had low blood pressure, low hemoglobin level, fever. Short-term dizziness & vomiting. Pain.
Release 10 — day 21, dose 2
Symptoms: Unrelated to vaccine: After 3-nite hospital stay after 11/8 hysterectomy & parasitic uterine fibroid removal, I found red, itchy welts where all incision bandaids were. Today, got prescribed a topical corticosteroid. Still recovering from surgery. cut off by CDC
Release 10 — day 42, dose 2
Symptoms: Diarrhea
Release 12 — day 28, dose 3
Symptoms: Bad headaches on two different days. Probably unrelated to vaccine.
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 | Diarrhoea | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hysterectomy | · | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Thrombophlebitis | ✓ | ✓ | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Uterine leiomyoma | · | · | ✓ |
| SD | Uterine operation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release