6MF-10211-18509
3 vaccinations
3 coded responses
27 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 278 / NC
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-13
Registered in v-safe
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Pyrexia, Self-medication — Feeling: Good · Site: Pain · Muscle or body achesFree text: Vaguely feverish but managed with 650mg acetaminophen (yesterdays fever broke through the 2 doses I took)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-26
- 2021-04-02
-
2021-04-09
Survey response — day 28, single doseMedDRA: Ear infection, Ear pain, Headache, Migraine — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have terrible ear pain beginning on The left and now bilaterally. I suspect an ear infection unrelated to the vaccine. Ive also had terrible headaches/migraines that are notably positional (Much worse when moving sit<>stand).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 28, single doseBe unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
-
2021-04-23
Survey response — day 42, single doseMedDRA: Headache, Pain in extremity, Pre-existing disease — Feeling: GoodFree text: Ive had daily/ every other day headaches which Ive not had in several years. I dont know why they would have suddenly stopped being well controlled with my medications but theyre back like a beast. Also calf pain but idk if its relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Call successfulDoes not wish to fill out VAERS report
- 2021-06-11
- 2021-09-10
-
2021-12-08
Dose 2 — Pfizer-BioNTech
- 2022-03-12
-
2022-10-30
Dose 3 — Pfizer-BioNTech
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2022-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-01
-
2022-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-03
- 2022-11-05
- 2022-11-08
- 2022-11-13
- 2022-11-20
- 2022-11-27
- 2022-12-04
- 2022-12-11
- 2023-01-31
- 2023-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-08 | Pfizer-BioNTech | No |
| 3 | 2022-10-30 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Vaguely feverish but managed with 650mg acetaminophen (yesterdays fever broke through the 2 doses I took)
Release 7 — day 28, single dose
Symptoms: I have terrible ear pain beginning on The left and now bilaterally. I suspect an ear infection unrelated to the vaccine. Ive also had terrible headaches/migraines that are notably positional (Much worse when moving sit<>stand).
Release 7 — day 42, single dose
Symptoms: Ive had daily/ every other day headaches which Ive not had in several years. I dont know why they would have suddenly stopped being well controlled with my medications but theyre back like a beast. Also calf pain but idk if its 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 | Ear infection | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release