4CY-10765-97555
3 vaccinations
4 coded responses
37 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 985 / WA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-14
Registered in v-safe
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Anger, Depressed mood, Irritability — Feeling: Fair · Site: PainFree text: I don't know if this had anything to do with the vaccine, but this week I have been finding myself uncharacteristically cranky, short-tempered and sad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Diabetes mellitus, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I am a diabetic, and it feels that in the days since I got the shot that my blood glucose levels have been higher than I would expect. As of this morning it seems to have gotten back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-21
- 2021-03-29
- 2021-04-04
- 2021-04-10
- 2021-04-18
- 2021-04-24
- 2021-06-14
- 2021-09-12
-
2021-11-02
Dose 2 — Pfizer-BioNTech
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2021-11-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-11-04
Survey response — days 1–6 daily, dose 2MedDRA: Asthma — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend schoolFree text: Mild asthmaMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-06
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Feeling abnormal — Feeling: Fair · Fatigue or tirednessFree text: I have had very fuzzy brain and been a little bit off balance since the booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-03
- 2022-05-05
-
2022-05-09
Dose 3 — Pfizer-BioNTech
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-07
- 2022-06-13
- 2022-06-20
- 2022-08-08
- 2022-11-07
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-02 | Pfizer-BioNTech | No |
| 3 | 2022-05-09 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I don't know if this had anything to do with the vaccine, but this week I have been finding myself uncharacteristically cranky, short-tempered and sad.
Systemic reaction (other): I am a diabetic, and it feels that in the days since I got the shot that my blood glucose levels have been higher than I would expect. As of this morning it seems to have gotten back to normal.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Mild asthma
Systemic reaction (other): I have had very fuzzy brain and been a little bit off balance since the booster.
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 |
|---|---|---|---|---|
| SRO | Anger | ✓ | ✓ | ✓ |
| SRO | Asthma | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Diabetes mellitus | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release