4JZ-18615-93811
2 vaccinations
8 coded responses
28 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 600 / IL
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Janssen/Johnson & Johnson
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2021-03-17
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Initial dizziness then it abatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Most symptoms were overnight and woke me up every 2 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Aphthous ulcer — Feeling: Good · Site: PainFree text: Canker sores which sometimes show up when I'mFighting a virusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
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2021-03-24
Survey response — day 7, dose 1MedDRA: Aphthous ulcer — Feeling: GoodFree text: Canker sores. Lots of them.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
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2021-04-14
Survey response — day 28, single doseMedDRA: Aphthous ulcer — Feeling: Good · Be unable to do your normal daily activitiesFree text: Canker sores are worse. Can't tell if it's an immune response or something I ate. Either have been culprits in the past.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-06-16
- 2021-09-17
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2021-11-05
Dose 2 — Pfizer-BioNTechCo-administered: Shingles
- 2021-11-05
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2021-11-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-08
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Dry coughMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
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2022-02-04
Survey response — 3 months, dose 2MedDRA: Aphthous ulcer, COVID-19, Feeding disorder, Headache, Herpes simplex, Oropharyngeal pain, Pre-existing disease, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had covid and recovered. Bad sore throat, congestion, cough, headache. Covid also triggered type 1 herpes and substantially worsened canker sores that kept me from eating (apthous mouth sores, not herpetic).MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-05 | Pfizer-BioNTech | Shingles |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Initial dizziness then it abated
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Most symptoms were overnight and woke me up every 2 hours
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Canker sores which sometimes show up when I'mFighting a virus
Release 6 — day 7, dose 1
Systemic reaction (other): Canker sores. Lots of them.
Release 7 — day 28, single dose
Symptoms: Canker sores are worse. Can't tell if it's an immune response or something I ate. Either have been culprits in the past.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Dry cough
Systemic reaction (other): Cough
Release 11 — 3 months, dose 2
Symptoms: Had covid and recovered. Bad sore throat, congestion, cough, headache. Covid also triggered type 1 herpes and substantially worsened canker sores that kept me from eating (apthous mouth sores, not herpetic).
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 | Aphthous ulcer | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Feeding disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Herpes simplex | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Aphthous ulcer | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release