JPX-12531-26295
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 787 / TX
- Registered
- 2021-08-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-23
Dose 1 — Pfizer-BioNTech
-
2021-08-28
Registered in v-safe
- 2021-08-28
-
2021-08-29
Survey response — days 1–6 daily, dose 1MedDRA: Adnexa uteri pain — Feeling: GoodFree text: Ovarian area pain, right sidedMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-30
-
2021-09-06
Survey response — day 14, dose 1MedDRA: Heart rate increased, Heart rate irregular — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had fluctuating heart rate while sitting, from 80 to 110+ back down to 50, then up to 90. Heart rate when active was consistently elevated to over 100. This only happened one day.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-13
- 2021-09-20
-
2021-09-23
Dose 2 — Pfizer-BioNTech
-
2021-09-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-09-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-09-30
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-12-24
- 2022-03-26
-
2022-06-20
Dose 3 — Moderna
- 2022-06-27
-
2022-07-04
Survey response — day 14, dose 3MedDRA: Chills, Feeling cold — Feeling: FairFree text: Felt chilled/cold in warm room several times. No fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-11
-
2022-07-27
Survey response — day 35, dose 3MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cough, sore throat, runny nose, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-08-02
- 2022-09-19
- 2022-12-21
- 2023-06-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-23 | Pfizer-BioNTech | No |
| 2 | 2021-09-23 | Pfizer-BioNTech | No |
| 3 | 2022-06-20 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Ovarian area pain, right sided
Release 9 — day 14, dose 1
Symptoms: Had fluctuating heart rate while sitting, from 80 to 110+ back down to 50, then up to 90. Heart rate when active was consistently elevated to over 100. This only happened one day.
Release 12 — day 14, dose 3
Symptoms: Felt chilled/cold in warm room several times. No fever.
Release 12 — day 35, dose 3
Symptoms: Cough, sore throat, runny nose, congestion
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Heart rate increased | ✓ | · | ✓ |
| SD | Heart rate irregular | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Adnexa uteri pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release