66G-27150-36209
3 vaccinations
4 coded responses
30 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 681 / NE
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-13
Registered in v-safe
-
2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal pain, Neck pain, Pruritus — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Soreness, not at injection site, but same arm in shoulder blade, neck areas; itching has been random and non specificMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-19
-
2021-04-19
Survey response — day 7, dose 1MedDRA: Acne, Pruritus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I don't normally get small 'pimples' on my face but notice late yesterday there were several. I still have them and maybe a few more. They randomly itch and have no heads. Similar to some i had once as a medication reactionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2021-11-01
Dose 2 — Janssen/Johnson & Johnson
- 2021-11-15
-
2021-11-22
Survey response — day 21, dose 2MedDRA: Arthritis, Condition aggravated, Gastrointestinal disorder, Inflammation, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Flaring inflammation- arthritis and fibromyalgia; i believe this is due to weather changes, not the booster. Today I'm have gut issues which i believe is from pain meds attempting to treat the inflammation. Again, i do NOT believe this is relatedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-04
-
2022-09-17
Dose 3 — Pfizer-BioNTech
- 2022-09-22
-
2022-09-24
Health check-in — day 7, dose 3Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2022-10-01
- 2022-10-08
- 2022-10-17
- 2022-10-23
- 2022-10-29
- 2022-12-17
-
2023-03-18
Survey response — 6 months, dose 3MedDRA: COVID-19, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-18
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-01 | Janssen/Johnson & Johnson | No |
| 3 | 2022-09-17 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness, not at injection site, but same arm in shoulder blade, neck areas; itching has been random and non specific
Release 7 — day 7, dose 1
Systemic reaction (other): I don't normally get small 'pimples' on my face but notice late yesterday there were several. I still have them and maybe a few more. They randomly itch and have no heads. Similar to some i had once as a medication reaction
Release 10 — day 21, dose 2
Symptoms: Flaring inflammation- arthritis and fibromyalgia; i believe this is due to weather changes, not the booster. Today I'm have gut issues which i believe is from pain meds attempting to treat the inflammation. Again, i do NOT believe this is related
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 | Arthritis | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Acne | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release