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3KW-30237-18390

3 vaccinations 11 coded responses 44 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
554 / MN
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-08
    Registered in v-safe
  2. 2021-04-08
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-04-08
    Survey response — day 0, dose 1
    MedDRA: Urticaria — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school
    Free text: Hives
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work
    Adult check-in
  5. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-04-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Anxiety over clot risks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Nausea, Abdominal pain
    Adult check-in
  10. 2021-04-15
    Health check-in — day 7, dose 1
    Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-22
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-04-29
    Survey response — day 21, single dose
    MedDRA: Abdominal pain, Anxiety, Chest pain, Disturbance in attention, Exercise tolerance decreased, Eye pain, Fatigue, Head discomfort, Headache, Pain in extremity, Pain in jaw, Palpitations, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Stabbing pains (various places in the body - eyes, legs, chest, abdomen), heart palpitations, increased anxiety, increased pressure in face, head/ jaw pain. Intense exhaustion. It's difficult to exercise. Difficult to concentrate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-06
    Survey response — day 28, single dose
    MedDRA: Abdominal pain, Discomfort, Headache, Palpitations, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sharp abdominal pain (resolved - lasted 3 days), pins and needles feelings widespread all over my body, heart palpitations, facial pressure, mild headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-14
    Health check-in — day 35, single dose
    Feeling: Fair
    Adult check-in
  15. 2021-05-21
    Survey response — day 42, single dose
    MedDRA: Headache, Intermenstrual bleeding, Menstruation irregular — Feeling: Fair
    Free text: Menstrual spotting second month in a row when normally I don't get a period at all. Headaches continuing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-07-08
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Joint pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-10-07
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2021-11-17
    Dose 2 — Pfizer-BioNTech
    Co-administered: Flu
  19. 2021-11-17
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-11-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  21. 2021-11-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  22. 2021-11-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  23. 2021-11-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  24. 2021-11-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  25. 2021-11-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  26. 2021-11-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  27. 2021-12-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-08
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-12-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-12-22
    Survey response — day 35, dose 2
    MedDRA: Rash, Rash erythematous — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sudden red, painful bumps on the tips of two of my right toes. They almost look like blisters. I have no reason to have them there, and can't explain why they appeared.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-29
    Survey response — day 42, dose 2
    MedDRA: Skin lesion — Feeling: Fair
    Free text: The lesions on my toes haven't yet resolved. I haven't gone to the doctor but I did make a vaers report.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-02-17
    Survey response — 3 months, dose 2
    MedDRA: Blister, Poor peripheral circulation — Feeling: Good
    Free text: The blistering / blood pooling is still happening in my toes. I thought it had resolved but recurred
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-05-20
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  34. 2022-10-25
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  35. 2022-10-25
    Health check-in — day 0, dose 3
    Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  36. 2022-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  37. 2022-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal pain, Dysmenorrhoea — Feeling: Fair · Fatigue or tiredness, Abdominal pain
    Free text: Menstrual-like cramping is what the abdominal pain is
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Discomfort, Flushing — Feeling: Good · Headache
    Free text: Facial pressure / feeling flush
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · None
    Adult check-in
  40. 2022-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2022-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  42. 2022-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  47. 2023-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  48. 2023-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Janssen/Johnson & Johnson
22021-11-17Pfizer-BioNTech Flu
32022-10-25Pfizer-BioNTech Flu

Free text

Release 7 — day 0, dose 1

2021-04-08

Systemic reaction (other): Hives

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): Anxiety over clot risks

Release 8 — day 21, single dose

2021-04-29

Symptoms: Stabbing pains (various places in the body - eyes, legs, chest, abdomen), heart palpitations, increased anxiety, increased pressure in face, head/ jaw pain. Intense exhaustion. It's difficult to exercise. Difficult to concentrate.

Release 8 — day 28, single dose

2021-05-06

Symptoms: Sharp abdominal pain (resolved - lasted 3 days), pins and needles feelings widespread all over my body, heart palpitations, facial pressure, mild headache.

Release 8 — day 42, single dose

2021-05-21

Symptoms: Menstrual spotting second month in a row when normally I don't get a period at all. Headaches continuing.

Release 9 — 3 months, dose 1

2021-07-08

Symptoms: Joint pain.

Release 10 — day 35, dose 2

2021-12-22

Symptoms: Sudden red, painful bumps on the tips of two of my right toes. They almost look like blisters. I have no reason to have them there, and can't explain why they appeared.

Release 10 — day 42, dose 2

2021-12-29

Symptoms: The lesions on my toes haven't yet resolved. I haven't gone to the doctor but I did make a vaers report.

Release 11 — 3 months, dose 2

2022-02-17

Symptoms: The blistering / blood pooling is still happening in my toes. I thought it had resolved but recurred

Release 12 — days 1–6 daily, dose 3

2022-10-27

Systemic reaction (other): Menstrual-like cramping is what the abdominal pain is

2022-10-28

Systemic reaction (other): Facial pressure / feeling flush

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain ✓ ✓ ✓
SDAnxiety ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBlister · · ✓
SDChest pain ✓ ✓ ✓
SDDiscomfort ✓ ✓ ✓
SDDisturbance in attention ✓ ✓ ✓
SDExercise tolerance decreased ✓ ✓ ✓
SDEye pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHead discomfort ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDIntermenstrual bleeding ✓ ✓ ✓
SDMenstruation irregular ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPain in jaw ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPoor peripheral circulation · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRash · · ✓
SDRash erythematous · · ✓
SDSkin lesion · · ✓
SROAbdominal pain · · ✓
SROAnxiety ✓ ✓ ✓
SRODiscomfort · · ✓
SRODysmenorrhoea · · ✓
SROFlushing · · ✓
SROUrticaria ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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