BKZ-28339-82804
2 vaccinations
6 coded responses
14 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 773 / TX
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Vertigo — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-08
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: AnxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-20
-
2021-04-27
Survey response — day 21, single doseMedDRA: Anxiety, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe anxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
-
2021-05-18
Survey response — day 42, single doseMedDRA: Anxiety — Feeling: Fair · Be unable to do your normal daily activitiesFree text: AnxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-24
-
2021-05-24
Callback requested for11:00AM ET
-
2021-05-24
Call successfulCompleted over the phone
- 2021-07-08
- 2021-10-07
-
2021-11-11
Dose 2 — Pfizer-BioNTech
-
2022-02-15
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Pregnancy and miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-02-15
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-02-16
Call successfulCompleted over the phone
-
2022-11-13
Survey response — 12 months, dose 2MedDRA: Hormone level abnormal, Infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Hormone imbalances, chronic infectionsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-07 | Successful 2021-05-24 |
Completed over the phone |
| 2022-02-15 | Successful 2022-02-16 |
Completed over the phone |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Vertigo
Systemic reaction (other): Anxiety
Release 8 — day 21, single dose
Symptoms: Severe anxiety
Release 8 — day 42, single dose
Symptoms: Anxiety
Release 11 — 3 months, dose 2
Symptoms: Pregnancy and miscarriage
Release 12 — 12 months, dose 2
Symptoms: Hormone imbalances, chronic infections
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 | Abortion spontaneous | · | · | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Hormone level abnormal | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release