4PC-27295-50425
3 vaccinations
10 coded responses
29 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 494 / MI
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Pain in jaw, Toothache — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Aches in jaw and teethMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-28
- 2021-04-04
- 2021-04-09
-
2021-04-18
Survey response — day 28, single doseMedDRA: Diplopia, Eye colour change, Visual impairment — Feeling: FairFree text: Vision issues. Light and color differences between eyes. Double image noticed when reading text on phone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — day 35, single doseMedDRA: Arthralgia, Diarrhoea, Mobility decreased, Myalgia — Feeling: FairFree text: Myscle ache left shoulder, difficulty lifting arm above shoulder height. Diarhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
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2021-06-18
Survey response — 3 months, dose 1MedDRA: Bursitis, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bursitis in left shoulder · Healthcare visit (other): Visit with primary care physisianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-18
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-18
-
2021-10-24
Dose 2 — Pfizer-BioNTech
- 2021-11-01
- 2021-11-07
- 2021-11-16
- 2021-11-21
- 2021-11-28
- 2021-12-05
-
2022-01-23
Survey response — 3 months, dose 2MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Congestion, runny nose, cough, sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Survey response — 6 months, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Dose 3 — Pfizer-BioNTechCo-administered: Shingles
- 2022-05-13
- 2022-05-17
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2022-05-24
Survey response — day 28, dose 3MedDRA: Contusion, Fall — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bruising from a fallMedDRA releases: 2024-11 · check-in free text available
- 2022-05-31
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2022-06-07
Survey response — day 42, dose 3MedDRA: Pain, Productive cough, Rhinorrhoea — Feeling: FairFree text: Body ache, runny nose, cough bringing up phlegmMedDRA releases: 2024-11 · check-in free text available
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2022-07-26
Survey response — 3 months, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: GoodFree text: Sore throat, dry coughMedDRA releases: 2024-11 · check-in free text available
-
2023-04-28
Survey response — 12 months, dose 3MedDRA: Myalgia, Respiratory tract congestion, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-24 | Pfizer-BioNTech | No |
| 3 | 2022-04-26 | Pfizer-BioNTech | Shingles |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Aches in jaw and teeth
Release 7 — day 28, single dose
Symptoms: Vision issues. Light and color differences between eyes. Double image noticed when reading text on phone.
Release 7 — day 35, single dose
Symptoms: Myscle ache left shoulder, difficulty lifting arm above shoulder height. Diarhea.
Release 9 — 3 months, dose 1
Symptoms: Bursitis in left shoulder
Healthcare visit (other): Visit with primary care physisian
Release 11 — 3 months, dose 2
Symptoms: Congestion, runny nose, cough, sore throat
Release 11 — 6 months, dose 2
Symptoms: Runny nose
Release 11 — day 28, dose 3
Symptoms: Bruising from a fall
Release 11 — day 42, dose 3
Symptoms: Body ache, runny nose, cough bringing up phlegm
Release 12 — 3 months, dose 3
Symptoms: Sore throat, dry cough
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 | Bursitis | ✓ | ✓ | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Diplopia | ✓ | ✓ | ✓ |
| SD | Eye colour change | ✓ | ✓ | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release