56R-22370-21078
3 vaccinations
6 coded responses
38 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-09
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: GoodFree text: Afraid the shot was messed up the one that administered said that the needle leakedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Syringe issue, Underdose — Feeling: GoodFree text: Don't think I got the correct amount of vaccine the person who administered the shot was concerned because the needle needle leaked badly as he was injecting it into meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-08
-
2021-10-29
Dose 2 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-20
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
-
2022-04-10
Dose 3 — Pfizer-BioNTech
-
2022-04-29
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Fatigue, Headache — Feeling: FairFree text: Headache, diarrhea, tiredMedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Survey response — day 14, dose 3MedDRA: Diarrhoea, Fatigue, Headache — Feeling: GoodFree text: Had terrible headaches starting past Sunday extremely tired had diarrhea, Friday felt better today felt way betterMedDRA releases: 2024-11 · check-in free text available
-
2022-05-01
Survey response — day 21, dose 3MedDRA: Diarrhoea, Fatigue, Headache, Pain — Feeling: GoodFree text: Daily headache, body sore, extremely tired, diarrhea. But today feel way betterMedDRA releases: 2024-11 · check-in free text available
- 2022-05-08
- 2022-05-15
- 2022-05-23
- 2022-07-10
- 2022-10-09
-
2023-04-10
Survey response — 12 months, dose 3MedDRA: Office visit, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-10
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-29 | Pfizer-BioNTech | Flu |
| 3 | 2022-04-10 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Afraid the shot was messed up the one that administered said that the needle leaked
Systemic reaction (other): Don't think I got the correct amount of vaccine the person who administered the shot was concerned because the needle needle leaked badly as he was injecting it into me
Release 11 — 6 months, dose 2
Symptoms: Headache, diarrhea, tired
Release 11 — day 14, dose 3
Symptoms: Had terrible headaches starting past Sunday extremely tired had diarrhea, Friday felt better today felt way better
Release 11 — day 21, dose 3
Symptoms: Daily headache, body sore, extremely tired, diarrhea. But today feel way better
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 | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Syringe issue | ✓ | ✓ | ✓ |
| SRO | Underdose | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release