3EG-11872-96619
4 vaccinations
5 coded responses
56 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 953 / CA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-14
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-04-10
Survey response — day 35, single doseMedDRA: Arthralgia, Back pain — Feeling: Fair · 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: Back & hip pain which Im sure is NOT RELATED to Covid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — day 35, single doseBe unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-17
- 2021-05-07
- 2021-06-05
- 2021-09-04
-
2021-11-02
Dose 2 — Pfizer-BioNTech
- 2021-11-02
-
2021-11-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-09
-
2021-11-16
Survey response — day 14, dose 2MedDRA: Arthralgia, Blister, Cellulitis, Dermatitis contact, Office visit, Rash — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Rash/blistering of skin (Dr suspects cellulitis plus allergic reaction to bandage tape adhesive) & elbow/joint pain. · Healthcare visit (other): Was seen at my primary care physician's office. I also have a follow up with her later this week.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Report sent to call center — day 14, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-17
-
2021-11-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-23
-
2021-11-30
Survey response — day 28, dose 2MedDRA: Sinus headache — Feeling: FairFree text: Sinus headache. I do NOT believe it's related to Covid or the vaccine. I'm almost sure it's due to the drop in temperatures in my city.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-14
- 2022-02-01
-
2022-04-10
Dose 3 — Pfizer-BioNTech
- 2022-04-10
-
2022-04-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint painsAdult check-in
- 2022-04-12
- 2022-04-13
- 2022-04-14
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-25
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-05-23
- 2022-07-10
- 2022-10-09
-
2022-10-27
Dose 4 — Pfizer-BioNTech
-
2022-10-27
Health check-in — day 0, dose 4Feeling: Fair · Site: Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Diarrhea, Abdominal painAdult check-in
- 2022-10-30
- 2022-10-31
-
2022-11-01
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain upper, Gastrooesophageal reflux disease, Vomiting — Feeling: Poor · Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesFree text: I DO NOT BELIEVE THESE SYMPTOM IS RELATED to RECEIVING THE INJECTION, but today I have extreme acid reflux, upper abdominal pain with vomiting. I've treated this with Prilosec & the symptoms have subsided by 25%. I should be good in 1-4days.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2022-11-04
- 2022-11-10
- 2022-11-19
- 2022-11-24
- 2022-12-02
- 2022-12-08
-
2023-01-28
Survey response — 3 months, dose 4MedDRA: Asthma, Cough, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test negative, Wheezing — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-02 | Pfizer-BioNTech | No |
| 3 | 2022-04-10 | Pfizer-BioNTech | No |
| 4 | 2022-10-27 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 35, single dose
Symptoms: Back & hip pain which Im sure is NOT RELATED to Covid.
Release 10 — day 14, dose 2
Symptoms: Rash/blistering of skin (Dr suspects cellulitis plus allergic reaction to bandage tape adhesive) & elbow/joint pain.
Healthcare visit (other): Was seen at my primary care physician's office. I also have a follow up with her later this week.
Release 10 — day 28, dose 2
Symptoms: Sinus headache. I do NOT believe it's related to Covid or the vaccine. I'm almost sure it's due to the drop in temperatures in my city.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I DO NOT BELIEVE THESE SYMPTOM IS RELATED to RECEIVING THE INJECTION, but today I have extreme acid reflux, upper abdominal pain with vomiting. I've treated this with Prilosec & the symptoms have subsided by 25%. I should be good in 1-4days.
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Blister | · | · | ✓ |
| SD | Cellulitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dermatitis contact | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Gastrooesophageal reflux disease | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release