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6MM-11171-13129

4 vaccinations 4 coded responses 35 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
600 / IL
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-04-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising, Injection site haematoma — Feeling: Good
    Free text: Of interest: today was the first sign of a quarter-size hematoma at the injection site. No swelling or pain. Just small bruise.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-30
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  13. 2021-05-07
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  14. 2021-05-14
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  15. 2021-05-21
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  16. 2021-07-09
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-10-08
    Survey response — 6 months, dose 1
    MedDRA: Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test, SARS-CoV-2 test negative, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Have a sore throat, significant sinus congestion, abnormal headache, and fatigue for about 30 hours. Had a negative rapid COVID test yesterday. Waiting for PCR results. Appears to be some other illness.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-28
    Dose 2 — Janssen/Johnson & Johnson
  19. 2021-10-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Fatigue, Headache, Injection site pain, Injection site swelling, No reaction on previous exposure to drug, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling
    Free text: Had no symptoms w/1st shot. Had chills, fever, headache and fatigue about 10 hours after second dose. Lasted about 15 hours. Now just injection site soreness & swelling and mild headache has persisted since on set.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-11-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  21. 2021-11-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  22. 2021-11-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  23. 2021-11-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  24. 2021-11-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-01-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-07-15
    Dose 3 — Pfizer-BioNTech
  31. 2022-10-13
    Dose 4 — Pfizer-BioNTech
  32. 2022-10-17
    Survey response — days 1–6 daily, dose 4
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Didn't experience these today, hit had them start about 10 hours after injection and lasted about 10-12 hours. Enough to rest periodically.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-10-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-10-20
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-10-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-11-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-11-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-11-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-11-24
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  40. 2023-01-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Janssen/Johnson & Johnson
22021-10-28Janssen/Johnson & Johnson No
32022-07-15Pfizer-BioNTech No
42022-10-13Pfizer-BioNTech No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Of interest: today was the first sign of a quarter-size hematoma at the injection site. No swelling or pain. Just small bruise.

Release 10 — 6 months, dose 1

2021-10-08

Symptoms: Have a sore throat, significant sinus congestion, abnormal headache, and fatigue for about 30 hours. Had a negative rapid COVID test yesterday. Waiting for PCR results. Appears to be some other illness.

Release 10 — days 1–6 daily, dose 2

2021-10-31

Systemic reaction (other): Had no symptoms w/1st shot. Had chills, fever, headache and fatigue about 10 hours after second dose. Lasted about 15 hours. Now just injection site soreness & swelling and mild headache has persisted since on set.

Release 12 — days 1–6 daily, dose 4

2022-10-17

Systemic reaction (other): Didn't experience these today, hit had them start about 10 hours after injection and lasted about 10-12 hours. Enough to rest periodically.

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

FieldPreferred term2021-092023-042024-11
SDFatigue · · ✓
SDHeadache · · ✓
SDOropharyngeal pain · · ✓
SDSARS-CoV-2 test · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSinus congestion · · ✓
SROAdverse reaction · · ✓
SROChills · · ✓
SROFatigue · · ✓
SROHeadache · · ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site haematoma ✓ ✓ ✓
SROInjection site pain · · ✓
SROInjection site swelling · · ✓
SRONo reaction on previous exposure to drug · · ✓
SROPyrexia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release