J3Y-22192-97229
3 vaccinations
3 coded responses
12 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 265 / WV
- Registered
- 2021-08-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
HJJ-18876-54021
Child or adolescent in my care · Female · 2021-08-20
YU5-62124-28568
Child or adolescent in my care · Male · 2021-08-20
Timeline
-
2021-04-01
Dose 1 — Pfizer-BioNTech
-
2021-04-27
Dose 2 — Pfizer-BioNTech
-
2021-08-18
Dose 3 — Pfizer-BioNTech
-
2021-08-20
Registered in v-safe
-
2021-08-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-22
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Palpitations — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Constant pressure in left side of back and upper shoulder left side and heart having serious palpitations %:qMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Dizziness, Hyperhidrosis, Palpitations — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sweating, weak with dizzy spells, heart palpitations more pronouncedMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-24
- 2021-08-25
- 2021-09-01
- 2021-09-15
- 2021-09-22
- 2021-09-29
-
2022-02-16
Survey response — 6 months, dose 3MedDRA: Endotracheal intubation, Mechanical ventilation, Pneumonia, Surgery, Ulcer — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Ulcer repair and double pneumonia and was put on ventilation and intubationMedDRA releases: 2024-11 · check-in free text available
-
2022-02-16
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-02-22
- 2022-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Pfizer-BioNTech | No |
| 2 | 2021-04-27 | Pfizer-BioNTech | No |
| 3 | 2021-08-18 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Constant pressure in left side of back and upper shoulder left side and heart having serious palpitations %:q
Systemic reaction (other): Sweating, weak with dizzy spells, heart palpitations more pronounced
Release 11 — 6 months, dose 3
Symptoms: Ulcer repair and double pneumonia and was put on ventilation and intubation
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 | Endotracheal intubation | · | · | ✓ |
| SD | Mechanical ventilation | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Ulcer | · | · | ✓ |
| SRO | Asthenia | ✓ | · | ✓ |
| SRO | Discomfort | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
| SRO | Hyperhidrosis | ✓ | · | ✓ |
| SRO | Palpitations | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release