3F3-26139-52081
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 542 / WI
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Insomnia — Feeling: Poor · Fatigue or tiredness, NauseaFree text: upset stomach and not able to sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-04-30
- 2021-05-09
- 2021-05-14
-
2021-07-03
Survey response — 3 months, dose 1MedDRA: Anxiety — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Shot was given on April 2nd. April 4th I experienced first symptoms of anxiety. Also on April 5th .I am confident that this Injection is the reason for my anxiety! To this day it happens almost daily and I regret getting the covid shot! Terrible!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-03
Report sent to call center — 3 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-13
- 2021-10-01
-
2021-11-30
Dose 2 — Pfizer-BioNTech
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-14
- 2022-01-04
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2022-01-11
Survey response — day 42, dose 2MedDRA: Cough, Lacrimation increased, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: I got a cold with dry cough and tearing eyes . Covid test was negative. I will recheck tomorrow again.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-01
Survey response — 3 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Omnicron virus infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-06-05
Survey response — 6 months, dose 2MedDRA: Cough — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dry coughing for two weeksMedDRA releases: 2024-11 · check-in free text available
- 2022-11-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-30 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): upset stomach and not able to sleep
Release 9 — 3 months, dose 1
Symptoms: Shot was given on April 2nd. April 4th I experienced first symptoms of anxiety. Also on April 5th .I am confident that this Injection is the reason for my anxiety! To this day it happens almost daily and I regret getting the covid shot! Terrible!!
Release 10 — day 42, dose 2
Symptoms: I got a cold with dry cough and tearing eyes . Covid test was negative. I will recheck tomorrow again.
Release 11 — 3 months, dose 2
Symptoms: Omnicron virus infection
Release 11 — 6 months, dose 2
Symptoms: Dry coughing for two weeks
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release