GXD-16052-99863
3 vaccinations
1 coded response
19 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 900 / CA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Janssen/Johnson & Johnson
-
2021-04-09
Registered in v-safe
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
-
2021-07-07
Survey response — 3 months, dose 1MedDRA: Abdominal discomfort, Decreased appetite, Gastritis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Gastritis, upset stomach, low appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-07
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-09
-
2021-07-09
Call successfulCompleted over the phone
-
2021-11-04
Dose 2 — Pfizer-BioNTech
- 2022-04-07
-
2022-09-30
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-24
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-04 | Pfizer-BioNTech | No |
| 3 | 2022-09-30 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — 3 months, dose 1
Symptoms: Gastritis, upset stomach, low appetite
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Gastritis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release