4UG-74665-91384
3 vaccinations
4 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 537 / WI
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-31
Registered in v-safe
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: These symptoms began last night around 8pm and worsened throughout the evening. Woke up today and still very achy and headache all day today until about 7pm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Headache — Feeling: Good · Muscle or body achesFree text: Mostly lower back pain and headache starting from 8pm the day of the injection straight through until today at about 2pm. Feeling mostly back to normal since then.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-30
- 2021-09-28
-
2021-11-07
Dose 2 — Pfizer-BioNTech
- 2022-03-30
-
2022-09-15
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-09-23
Survey response — day 7, dose 3MedDRA: Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Swollen lymph nodes under left armpit since 9/16. Going to doctor to check for infection as they hurt all day and night. · Healthcare visit (other): Pending an appointment; not heard back from doctors office.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-23
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-23
- 2022-09-30
- 2022-10-06
- 2022-10-13
- 2022-10-21
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-07 | Pfizer-BioNTech | No |
| 3 | 2022-09-15 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): These symptoms began last night around 8pm and worsened throughout the evening. Woke up today and still very achy and headache all day today until about 7pm.
Systemic reaction (other): Mostly lower back pain and headache starting from 8pm the day of the injection straight through until today at about 2pm. Feeling mostly back to normal since then.
Release 12 — day 7, dose 3
Systemic reaction (other): Swollen lymph nodes under left armpit since 9/16. Going to doctor to check for infection as they hurt all day and night.
Healthcare visit (other): Pending an appointment; not heard back from doctors office.
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 | Unevaluable event | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release