6QX-27010-13433
3 vaccinations
7 coded responses
25 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Registered in v-safe
-
2021-04-12
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Shortness of breath, but thats feeling better nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Good · Muscle or body achesFree text: Occasionally shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: GoodFree text: Shortness of breath on occasionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Chest pain, Dyspnoea, Medical counselling, Pulmonary pain — Feeling: Poor · Headache · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Shortness of breath, tightness in chest, pain in right chest lung · Healthcare visit (other): Called consulting nurse at Kaiser P first. Based on my symptoms and mention of chest/lung pain, they said I should go to ER.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · HeadacheFree text: Shortness of breath, chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 7, dose 1MedDRA: Cough, Dyspnoea, Productive cough, SARS-CoV-2 test negative — Feeling: FairFree text: Shortness of breath, phlegm, cough. Tested and I dont have COVID-19MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-12
- 2021-05-17
-
2021-05-18
Call successfulCompleted over the phone
- 2021-05-24
- 2021-07-14
-
2021-10-30
Dose 2 — Pfizer-BioNTech
-
2022-09-23
Dose 3 — Pfizer-BioNTech
- 2022-09-23
-
2022-09-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal painAdult check-in
- 2022-09-25
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
-
2022-10-14
Survey response — day 21, dose 3MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Possible eye infection but I think that's due to dusty Smokey work environment.MedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-18
- 2022-10-23
- 2022-10-28
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-30 | Pfizer-BioNTech | No |
| 3 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Shortness of breath, but thats feeling better now
Systemic reaction (other): Occasionally shortness of breath
Systemic reaction (other): Shortness of breath on occasion
Systemic reaction (other): Shortness of breath, tightness in chest, pain in right chest lung
Healthcare visit (other): Called consulting nurse at Kaiser P first. Based on my symptoms and mention of chest/lung pain, they said I should go to ER.
Systemic reaction (other): Shortness of breath, chest tightness
Release 7 — day 7, dose 1
Systemic reaction (other): Shortness of breath, phlegm, cough. Tested and I dont have COVID-19
Release 12 — day 21, dose 3
Symptoms: Possible eye infection but I think that's due to dusty Smokey work environment.
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 |
|---|---|---|---|---|
| HCVO | Chest pain | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Pulmonary pain | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Pulmonary pain | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release