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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

  1. 2021-04-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-27
    Dose 2 — Pfizer-BioNTech
  3. 2021-08-18
    Dose 3 — Pfizer-BioNTech
  4. 2021-08-20
    Registered in v-safe
  5. 2021-08-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-08-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-08-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Discomfort, Palpitations — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Constant pressure in left side of back and upper shoulder left side and heart having serious palpitations %:q
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Asthenia, Dizziness, Hyperhidrosis, Palpitations — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sweating, weak with dizzy spells, heart palpitations more pronounced
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-08-25
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-09-01
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  12. 2021-09-15
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-09-22
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-09-29
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-02-16
    Survey response — 6 months, dose 3
    MedDRA: 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, Hospitalization
    Free text: Ulcer repair and double pneumonia and was put on ventilation and intubation
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-02-16
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  17. 2022-02-22
  18. 2022-08-18
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Pfizer-BioNTech No
22021-04-27Pfizer-BioNTech No
32021-08-18Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 3

2021-08-22

Systemic reaction (other): Constant pressure in left side of back and upper shoulder left side and heart having serious palpitations %:q

2021-08-23

Systemic reaction (other): Sweating, weak with dizzy spells, heart palpitations more pronounced

Release 11 — 6 months, dose 3

2022-02-16

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

FieldPreferred term2021-092023-042024-11
SDEndotracheal intubation · · ✓
SDMechanical ventilation · · ✓
SDPneumonia · · ✓
SDSurgery · · ✓
SDUlcer · · ✓
SROAsthenia ✓ · ✓
SRODiscomfort ✓ · ✓
SRODizziness ✓ · ✓
SROHyperhidrosis ✓ · ✓
SROPalpitations ✓ · ✓

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