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PTB-18676-73039

1 vaccination 6 coded responses 16 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
852 / AZ
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-08
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-04-09
    Survey response — day 0, dose 1
    MedDRA: Pruritus — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: The palms of my hands itch like crazy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  6. 2021-04-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Dizziness occasionally whether sitting or standing but its not constant.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Occasionally I am feeling dizzy even when sitting down. It is transient though.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  9. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  10. 2021-04-16
    Survey response — day 7, dose 1
    MedDRA: Wheezing — Feeling: Good · Fatigue or tiredness
    Free text: Some mild inspiratory wheezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-23
    Survey response — day 14, dose 1
    MedDRA: Cough, Rhinorrhoea, SARS-CoV-2 test negative, Sputum discoloured — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I developed sinus infection and a cough, with yellow phlegm and nasal drainage both anterior and posterior on Sunday and am still unable to get rid of it so i went to the dr.-tested negative for covid19. Am on abx now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-23
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-30
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  14. 2021-05-09
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  15. 2021-05-14
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  16. 2021-05-20
  17. 2021-05-21
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  18. 2021-07-09
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  19. 2021-10-08
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  20. 2022-04-09
    Survey response — 12 months, dose 1
    MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I got a mild case of COVID in January of 2023.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-09
    Report sent to call center — 12 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  22. 2022-04-11
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Janssen/Johnson & Johnson

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): The palms of my hands itch like crazy

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Dizziness occasionally whether sitting or standing but its not constant.

2021-04-13

Systemic reaction (other): Occasionally I am feeling dizzy even when sitting down. It is transient though.

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Some mild inspiratory wheezing

Release 7 — day 14, dose 1

2021-04-23

Symptoms: I developed sinus infection and a cough, with yellow phlegm and nasal drainage both anterior and posterior on Sunday and am still unable to get rid of it so i went to the dr.-tested negative for covid19. Am on abx now.

Release 11 — 12 months, dose 1

2022-04-09

Symptoms: I got a mild case of COVID in January of 2023.

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
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSputum discoloured ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROWheezing ✓ ✓ ✓

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