4ZR-21000-00769
2 vaccinations
7 coded responses
16 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 908 / CA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-09
Dose 1 — Janssen/Johnson & Johnson
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2021-04-10
Registered in v-safe
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth, Thirst — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Dry mouth/felt thirsty constantlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms, Myalgia, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: Muscle pain. (Forgot to add day of, had small muscle spasms in legs) still have muscle pain in back of thighs and calves.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesFree text: Pain just in the arm and a little in the neck on the same sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree text: Muscle pain on off not continuous, mosly in calves back of thighs, and armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-23
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2021-04-30
Survey response — day 21, single doseMedDRA: Heavy menstrual bleeding, Menstrual clots, Menstrual disorder — Feeling: GoodFree text: Not sure if its the vaccine? Change in menstrual. Instead of being heavy for 3 days with little to no clots, been heavy with large clots for going on 5 days. Finally lightened today (day 5) but still have clots.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-21
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2021-11-08
Dose 2 — Pfizer-BioNTech
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2021-11-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, DiarrheaAdult check-in
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2021-11-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-12
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, DiarrheaFree text: Didn't notice before because I thought it was muscle pain, but lymphnodes around injection arm are swollen and painfulMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · DiarrheaFree text: Lymphnode swelling is significantly less. Like the size if a dime, not a quarter anymore. Still hurts if pressed.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
- 2021-12-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-08 | Pfizer-BioNTech | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Dry mouth/felt thirsty constantly
Systemic reaction (other): Muscle pain. (Forgot to add day of, had small muscle spasms in legs) still have muscle pain in back of thighs and calves.
Systemic reaction (other): Pain just in the arm and a little in the neck on the same side
Systemic reaction (other): Muscle pain on off not continuous, mosly in calves back of thighs, and arms
Release 8 — day 21, single dose
Symptoms: Not sure if its the vaccine? Change in menstrual. Instead of being heavy for 3 days with little to no clots, been heavy with large clots for going on 5 days. Finally lightened today (day 5) but still have clots.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Didn't notice before because I thought it was muscle pain, but lymphnodes around injection arm are swollen and painful
Systemic reaction (other): Lymphnode swelling is significantly less. Like the size if a dime, not a quarter anymore. Still hurts if pressed.
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 | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Menstrual clots | ✓ | ✓ | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release